Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy , with valve replacement . Increased heart size , , similar . Pulmonary vascularity is increased , similar . Mild interstitial prominence , suggest edema , more apparent . There are mild bilateral pleural effusions , more prominent since prior . Mild bibasilar opacities , likely atelectasis , consider pneumonia if clinically appropriate
    OUTPUT:
    
Increased heart size , pulmonary vascularity , with pulmonary edema . Mild pleural effusions . Mild basilar opacities , likely atelectasis , consider pneumonia if clinically appropriate