Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are lower than on the previous study . The cardiomediastinal and hilar contours remain stable accounting for this fact . Mild blunting of the left costophrenic angle is indicative of a small pleural effusion . There is no pneumothorax . Bilateral parenchymal opacities have substantially worsened since the prior study . Note is made of a stent in the left axilla , likely in the left subclavian vein .
    OUTPUT:
    
Worsening pulmonary edema with small left pleural effusion .