Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior exam , there has been marked interval increase in bilateral opacities with persistent pulmonary vascular congestion and cardiomegaly . These opacities are symmetric with peribronchial cuffing and few Kerley B lines , suggestive of edema No pleural effusion or pneumothorax is detected . Lung volumes are slightly low .
    OUTPUT:
    
Increased bilateral pulmonary opacities in the setting of pulmonary vascular congestion and cardiomegaly . The appearance is most consistent with edema , but clinical correlation is recommended for symptoms of infection . Follow up radiograph is recommended after diuresis or dialysis to assess response . Findings and recommendations were discussed with ___ by ___ ___ by phone at 6 : 48 a .m . on ___ at the time of initial review of the study .