Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate bilateral layering pleural effusions are not appreciably changed . Moderate pulmonary edema is also unchanged . Marked cardiomegaly despite the projection has increased . There is no pneumothorax . Generalized osteopenia and multilevel spinal degenerative changes are stable .
    OUTPUT:
    
No significant interval change in moderate layering bilateral pleural effusions and moderate pulmonary edema . Increased marked cardiomegaly raises concern for the development of a pericardial effusion . Correlation with echocardiography is suggested .