Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , the degree of pulmonary edema has progressed . Bibasilar opacities are slightly more confluent compared to prior . Known right base pulmonary nodule is not as clearly delineated on the current exam . There are new small bilateral pleural effusions . Mild cardiac enlargement with dense mitral annular calcifications is again seen . No acute osseous abnormalities . Oblong calcific density projects again projects over the left breast .
    OUTPUT:
    
1 . Interval progression in degree pulmonary edema with new small bilateral pleural effusions . 2 . Slightly more confluent bibasilar opacities potentially atelectasis or edema , clinically correlate to exclude pneumonia . 3 . Known right basilar pulmonary nodule is not clearly seen on this exam .