Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains moderately enlarged . Bilateral moderate pleural effusions are slightly worse than prior . There is mild pulmonary edema , unchanged from prior . No focal airspace consolidation or pneumothorax . The aortic arch is calcified . Sternotomy wires , mediastinal clips and right side of neck clips are constant .
    OUTPUT:
    
Mild pulmonary edema with unchanged moderate cardiomegaly and increased moderate bilateral pleural effusions .