Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable , moderate cardiomegaly . Mediastinal and hilar contours are unchanged . Interval increase in bilateral interstitial markings and central ill - defined opacities , more pronounced on the right , suggests worsening , moderate to severe pulmonary edema . Increased , focal opacity in the right apex with silhouetting of the right paratracheal stripe may represent pneumonia or alveolar edema in the right upper lobe . Right upper lobe alveolar edema can be seen in severe mitral regurgitation . Consider echocardiographic evaluation if clinically indicated . New , small , bilateral pleural effusions with increasing atelectasis at the left base .
    OUTPUT:
    
Worsening , moderate to severe pulmonary edema with new , small bilateral pleural effusions and new consolidation in the right upper lobe which may reflect infection or alveolar edema . Right upper lobe alveolar edema can be seen in severe mitral regurgitation . Consider echocardiographic evaluation if clinically indicated .