Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear . Moderate to severe cardiac enlargement is stable since ___ . Mild pulmonary edema is slightly worse since the ___ chest radiograph . Trace bilateral pleural effusions are again noted . No pneumothorax is identified .
    OUTPUT:
    
Mild pulmonary edema is slightly worse since the ___ chest radiograph .