Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal view of the chest shows increase in pulmonary edema compared to prior . There are moderate bilateral pleural effusions , the left of which has increased since prior study . Cardiac size is enlarged . There is no pneumothorax . The mediastinal structures are normal . Degenerative changes are again seen in the acromioclavicular joints and glenohumeral joints .
    OUTPUT:
    
Worsening pulmonary edema . These findings were discussed with Dr . ___ by Dr . ___ at 12 a .m . on ___ , by telephone at the same time the finding was discovered .