Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval development of a moderate - sized left pleural effusion . Peribronchial cuffing is seen bilaterally . The left hilar vasculature is poorly defined . Left mid and lower thoracic rib fractures are unchanged . There is no definite pneumothorax . Cardiomediastinal silhouette is midline .
    OUTPUT:
    
New peribronchial cuffing and left moderate effusion is consistent with asymmetric pulmonary edema .