Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Re - demonstrated is severe pulmonary edema as well as a moderate right pleural effusion , unchanged . The size and appearance of the cardiomediastinal silhouette is enlarged but unchanged . No pneumothorax identified .
    OUTPUT:
    
No significant interval change since the prior examination with persisting severe pulmonary edema and a moderate right pleural effusion .