Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is moderately enlarged . There is no pleural effusion . There are increased interstitial markings bilaterally , suggesting moderate pulmonary edema , increased from the prior study and / or chronic thromboembolic pulmonary disease seen on prior CT from ___ . Right upper lobe nodularity better assessed on CT .
    OUTPUT:
    
Persistent moderate enlargement of the cardiac silhouette . Increased interstitial markings bilaterally suggesting moderate pulmonary edema , increased from the prior study , and / or chronic thromboembolic pulmonary disease as seen on prior CT .