Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart remains mildly enlarged . Severe mitral annular calcifications are again seen . The aorta is calcified and mildly tortuous . Mild to moderate pulmonary edema is markedly improved compared to the prior exam . Small bilateral pleural effusions persist . No pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild to moderate pulmonary edema with small bilateral pleural effusions , improved compared to the prior exam .