Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild interstitial pulmonary edema has slightly progressed . Left moderate pleural effusion has also increased . Right - sided pleural effusion with fluid tracking along the minor fissure is also slightly larger . Moderate to severe cardiomegaly . Prior median sternotomy and MVR . Sternal wires are intact . Dual lead pacemaker with the tips in similar position .
    OUTPUT:
    
Interval worsening of interstitial pulmonary edema and bilateral pleural effusions .