Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph . Moderate interstitial edema and bilateral pleural effusions , greater on the right , have worsened from 24 hours prior . There is no pneumothorax . The heart remains enlarged , though the borders are difficult to evaluate .
    OUTPUT:
    
Worsening pulmonary edema from 24 hours prior .