Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is moderately enlarged as on prior . Prominent interstitial markings are again seen . Blunting the posterior costophrenic angles suggesting trace effusions . Thickening along the minor fissure is also noted . Prosthetic aortic valve , median sternotomy wires are again seen . Atherosclerotic calcifications are noted in the thoracic aorta . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
Cardiomegaly . Increased interstitial markings may be due to mild edema or could be chronic in nature . Possible trace effusions . No confluent consolidation .