Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Since the prior exam , there has been development of moderate - sized bilateral pleural effusions and moderate pulmonary edema . Heart size can not be assessed . The mediastinal contour appears grossly unremarkable . No pneumothorax . Bony structures are intact .
    OUTPUT:
    
Pulmonary edema with bilateral moderate - sized pleural effusions .