Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the most recent radiograph , mild cardiomegaly is unchanged . Pulmonary edema has worsened , most pronounced in the right upper lobe . The patient has emphysema and possibly diffuse interstitial lung disease . No larger pleural effusions or new focal consolidation . No pneumothorax . Spiculated nodule seen in prior CT in the left lower lobe is not clearly visualized in this radiograph , attention in followup CT is recommend
    OUTPUT:
    
Mild cardiomegaly is unchanged , but pulmonary edema has worsened , most pronounced in the right upper lobe . Spiculated nodule seen in prior CT in the left lower lobe is not clearly visualized in this radiograph , attention in followup CT is recommend