Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart and mediastinal contours are stable . Increased bilateral opacity centered around the hilum is compatible with worsened pulmonary edema , now severe . Bilateral instinct costophrenic angles remain compatible with small pleural effusions with adjacent atelectasis . No pneumothorax . Sternotomy wires are intact .
    OUTPUT:
    
Worsened pulmonary edema , now severe , with small bilateral pleural effusions .