Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the prior examination from ___ , there has been interval development of moderate - sized bilateral pleural effusions , mild - to - moderate cardiomegaly , and apparent mild pulmonary edema . There is no focal consolidation or pneumothorax identified . The medistinal contours are stable .
    OUTPUT:
    
Bilateral pleural effusions , cardiomegaly , and interstitial pulmonary edema highly suggestive of fluid overload . However , as the true acuity of these findings can not be established , other causes of acute cardiac enlargement such as a pericardial effusion can not be definitively excluded . Findings were conveyed by Dr . ___ to Dr . ___ at 5 :03 pm on ___ . at the time of discovery .