Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the most recent prior exam , the heart size is significantly enlarged . There is central hilar engorgement and redistribution of vessels in the upper zones consistent with pulmonary edema . Dense retrocardiac opacity likely represents left lower lobe atelectasis . Rounded mass - like opacity in the right middle or lower lobe may represent atelectasis or infection . Calcifications in the right upper lobe are constant . Median sternotomy wires are intact .
    OUTPUT:
    
1 . New moderate pulmonary edema and worsening cardiomegaly . 2 . Bilateral pleural effusions . 3 . Rounded mass like opacity in the right middle or lower lobe which may represent atelecasis or pneumonia . Recommend follow up radiograph after diuresis for further assessment . If there is no improvement , then consider CT .