Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe pulmonary edema has slightly increased . There is no pneumothorax . A left pectoral pacemaker sends leads to the right atrium and right ventricle . Marked cardiomegaly despite the projection is unchanged . Dense mitral annular calcifications are present . Moderate bilateral pleural effusions with bibasilar atelectasis are unchanged .
    OUTPUT:
    
Slightly worsened moderate to severe pulmonary edema . No appreciable change in moderate bilateral pleural effusions . Stable marked cardiomegaly .