Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip is 2 .3 cm above carina . Valve prosthesis in place . Heart size , pulmonary vascularity is increased , has worsened since prior exam . Bilateral interstitial opacities , likely edema , worsened . Bibasilar opacities , likely atelectasis , mildly worsened . Small right pleural effusion , similar . Probable small left pleural effusion , new or more prominent . Degenerative arthritis of bilateral shoulders is present .
    OUTPUT:
    
Interval worsening of cardiopulmonary findings