Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate pulmonary edema is slightly worsened with more prominent small bilateral pleural effusions on today 's study . The cardiomediastinal silhouette remains unchanged with moderate to severe cardiomegaly and a widened mediastinum . No pneumothorax is seen .
    OUTPUT:
    
1 . Slightly worsened moderate pulmonary edema with more prominent small bilateral pleural effusions . 2 . Unchanged moderate to severe cardiomegaly with widened mediastinum .