Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is again severely enlarged with globular appearance that may suggest some degree of pericardial effusion . Extent of the heart size is difficult to evaluate in the presence of large bilateral pleural effusions which are similar in severity compared to prior exam , with adjacent bibasilar compressive atelectasis . There is increased central pulmonary vascular congestion with increased reticulations compatible with mild - to - moderate pulmonary edema . Calcified right lung nodules indicate prior granulomatous disease . There is no pneumothorax .
    OUTPUT:
    
Similar appearance of the chest to ___ exam with redemonstration of cardiomegaly with mild globular appearance which may suggest a component of pericardial effusion along with large bilateral pleural effusions and mild - to - moderate pulmonary edema . Underlying infection can not be excluded in the correct clinical circumstance .