Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild - to - moderate cardiomegaly is unchanged . Vascular congestion and pulmonary edema has mildly increased . There are small bilateral pleural effusions . Increased left basilar opacity is most consistent with atelectasis . No pneumothorax . Median sternotomy wires are intact .
    OUTPUT:
    
Moderate pulmonary edema , increased from prior with moderate bilateral pleural effusions .