Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Worsened bilateral perihilar , basilar opacities , likely pulmonary edema ; ca n't exclude pneumonitis . Small pleural effusions . Cardiac pacemaker . Shallow inspiration accentuates heart size .
    OUTPUT:
    
Interval worsening , likely pulmonary edema , ca n't exclude pneumonitis .