Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate bilateral interstitial and airspace opacities have slightly increased . Right upper lobe volume loss is not appreciably changed . Layering moderate bilateral pleural effusions are unchanged . There is no pneumothorax . A right pectoral single lead pacemaker partially obscures the right lung apex .
    OUTPUT:
    
Worsening moderate pulmonary edema and layering bilateral pleural effusions . Partial right upper lobe atelectasis , possibly secondary to mucous plugging is unchanged . Consider bronchoscopic correlation .