Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly , tortuous aorta , right pleural effusion and large area of atelectasis in the right middle lobe and right lower lobe are unchanged . Minimal interstitial edema is unchanged . Moderate degenerative changes in the thoracic spine are noted . There is increase in the AP in diameter of the chest . Patient is status post valve replacement . Sternal wires are aligned . There is no evident pneumothorax
    OUTPUT:
    
Minimal interstitial edema . No change in cardiomegaly right pleural effusion and adjacent atelectasis