Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains moderate to severely enlarged . The aortic knob is heavily calcified . Mild to moderate pulmonary edema is worse in the interval with new bilateral pleural effusions , small to moderate on the left and small on the right . No large pneumothorax is demonstrated though assessment of the left apex is somewhat obscured by external devices . Bibasilar opacities likely reflect areas of compressive atelectasis . Superior subluxation of both humeral heads with narrowed acromiohumeral intervals indicate rotator cuff disease .
    OUTPUT:
    
Mild to moderate pulmonary edema , worse in the interval with small to moderate left and small right pleural effusions , new in the interval . Bibasilar atelectasis .