Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates cardiomegaly . Bilateral opacities are consistent with pulmonary edema , increased compared to prior exam . No definite focal consolidation is identified , although an infectious process superimposed on the underlying edema can not be excluded . There is likely a right pleural effusion . No pneumothorax is seen .
    OUTPUT:
    
1 . Worsened pulmonary edema . 2 . Right pleural effusion .