Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change since the prior study . There is moderate to severe pulmonary edema with bilateral pleural effusions , right greater than left . Overall , lung volumes are low . Bibasilar opacities likely reflect combination of pleural effusion and atelectasis but again , infection can not be entirely excluded in the appropriate clinical setting . No pneumothorax is seen . Cardiac and mediastinal silhouettes are grossly stable .
    OUTPUT:
    
No significant interval change .