Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Atherosclerotic calcifications are seen diffusely within the thoracic aorta . Mild pulmonary edema is new compared to the previous study with small new bilateral pleural effusions demonstrated . Patchy opacities in the lung bases may reflect atelectasis however infection or aspiration is difficult to exclude . More focal ill - defined mass in the left upper lobe was better characterized on the recent chest CT as consistent with lung malignancy . No pneumothorax is present . Moderate multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
Interval development of mild pulmonary edema and small bilateral pleural effusions since the previous chest radiograph . Bibasilar patchy opacities may reflect atelectasis however infection or aspiration can not be excluded . Re - demonstration of left upper lobe mass concerning for malignancy .