Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . Moderate bilateral pleural effusions are increased from the prior examination . There is pulmonary vascular congestion and mild edema , also increased from the prior examination . No pneumothorax .
    OUTPUT:
    
Moderate pulmonary edema and increased bilateral pleural effusions from ___ . Difficult to exclude underlying pneumonia in the absence of a lateral view .