Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the most recent radiograph , there is new interstitial prominence , bronchovascular engorgement , and mild - to - moderate pulmonary edema . There is a probable small right pleural effusion , which is new from the prior exam . There is no pneumothorax . The aorta is calcified and tortuous . There is also calcification of the aortic valve and annulus . The cardiac silhouette is moderately enlarged and increased in size from the prior radiograph .
    OUTPUT:
    
New mild - to - moderate pulmonary edema with a small right pleural effusion and moderate cardiomegaly , increased since the prior exam .