Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is re - demonstrated . The mediastinal contour is unchanged with atherosclerotic calcifications noted at the aortic knob . Moderate to severe pulmonary edema appears minimally worse compared to the previous study with continued small bilateral pleural effusions . More focal opacities at the lung bases may reflect areas of atelectasis . No pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Slight interval worsening of moderate to severe pulmonary edema and continued small bilateral pleural effusions .