Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is again enlarged . A moderate interstitial abnormality is consistent with pulmonary edema . In addition to an existing loculated pleural effusion along the lateral right lower chest , there is an increasing moderate - sized pleural effusion which probably has a free - flowing component , but also likely a loculated element potentially along the right upper lateral chest . However , some of this appearance may be due to parenchymal consolidation . The left base is also newly opacified , which may correspond to consolidation , loculated pleural effusion or both . There is no pneumothorax .
    OUTPUT:
    
Findings consistent with pulmonary edema and new multifocal opacities , for the most part suggestive of pleural effusions including suspected loculated elements , as well as atelectasis . One or more pneumonic consolidations , potentially infectious , are not excluded , however .