Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable with moderate cardiomegaly and calcification of the aortic knob . There is no pneumothorax . Small bilateral pleural effusions are worsened compared to the prior study . Bibasilar opacities have also progressed , consistent with aspiration or pneumonia . Mild - to - moderate pulmonary edema is present .
    OUTPUT:
    
Progression of bibasilar opacities , small bilateral pleural effusions , and moderate pulmonary edema .