Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is been interval development of interstitial abnormality in a perihilar distribution which is concerning for pulmonary edema . Bilateral pleural effusions are small . Some areas of more focal nodular opacities are seen , particular on the lateral view , and therefore pneumonia can not be excluded . The heart remains enlarged . Aorta is tortuous . There is no pneumothorax .
    OUTPUT:
    
Interstitial abnormality in a perihilar distribution is concerning for pulmonary edema . Some areas of more focal nodular opacities are seen , particular on the lateral view , and therefore pneumonia can not be excluded . Recommend diuresis , with repeat chest x-ray , and potentially chest CT for further evaluation after diuresis .