Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is cephalization of pulmonary vessels , with perihilar haziness , vascular indistinctness consistent with moderate pulmonary edema , worsened since prior exam . Small bilateral pleural effusions are noted . Bibasilar opacities are noted , which likely represent atelectasis . The cardiac silhouette is obscured by the pleural effusions . There is no pneumothorax . Sternotomy wires , CABG clips , and cholecystectomy clips are noted .
    OUTPUT:
    
Moderate pulmonary edema , which has worsened since prior exam .