Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Despite improved inspiration compared to the most recent prior study , increased interstitial markings are indicative of worsening pulmonary edema . Small bilateral pleural effusions are not worsened compared to prior . There is no pneumothorax . The cardiomediastinal and hilar contours remain stable . Again seen are multiple rib deformities consistent with old fractures .
    OUTPUT:
    
Worsening pulmonary edema with stable bilateral pleural effusions .