Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in vascular markings with slight worsening of bilateral pulmonary edema . Probable small effusions bilaterally . Cardiac size is more enlarged . There is no pneumothorax .
    OUTPUT:
    
Cardiac silhouette is more enlarged . There is likely increase in bilateral vascular markings and bilateral pulmonary edema .