Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is cardiomegaly accompanied by vascular engorgement and pulmonary edema . There is a right - sided pleural effusion which may have some loculated components . Alternatively , this may represent soft tissue shadows or pleural thickening . Left pleural effusion is small if any , and there is retrocardiac atelectasis . There is no pneumothorax or pneumonia . Severe scoliosis of the lumbar spine is partially imaged with surgical hardware .
    OUTPUT:
    
Increase in chronic moderate ardiomegaly with likely acute pulmonary edema and non dependent right pleural effusion .