Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Support lines and tubes are unchanged in position when compared to the prior study . Multiple left - sided rib fractures are noted . There is unchanged left apical pleural fluid . No definite pneumothorax seen . The cardiomediastinal contour is unchanged compared to the prior study . Diffuse bilateral airspace opacities consistent with pulmonary edema .
    OUTPUT:
    
No significant interval change when compared to the prior study .