Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One AP portable view of the chest . There are bilateral opacities throughout the lungs consistent with moderate pulmonary edema . This is significantly increased from prior study . There is mild to moderate cardiomegaly . Possible small bilateral pleural effusions . There is no pneumothorax . The right humeral head is dislocated anteriorly , similar to prior study . Severe degenerative changes of the left shoulder .
    OUTPUT:
    
Mild to moderate cardiomegaly and moderate pulmonary edema is significantly worse compared to prior study .