Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Midline sternotomy wires are again seen . There is a similar overall pattern of moderate to severe pulmonary edema without significant change . Small bilateral pleural effusions are noted . Mild cardiomegaly is again seen . Mediastinal contour is stable and normal . Bony structures appear intact .
    OUTPUT:
    
Moderate to severe pulmonary edema , cardiomegaly , small pleural effusions . No significant change from prior exam from earlier today .