Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to ___ portable chest radiograph , the lung volumes are again low . There appears to be interval moderate increase in the severity of pulmonary vascular congestion and asymmetrical pulmonary edema . Bilateral costophrenic angles are blunted suggesting bilateral pleural effusions with a right side greater than the left side . Heart size is enlarged . No acute bony abnormalities nor fractures appreciated .
    OUTPUT:
    
In comparison to ___ chest radiograph , there is moderate interval worsening of pulmonary vascular congestion with asymmetrical pulmonary edema and bilateral pleural effusion ( right side greater than left side ) .