Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is severe pulmonary edema with a right pleural effusion . These findings are better assessed on the chest CT performed approximately five hours earlier at the outside hospital . There is no pneumothorax . Bony structures appear intact .
    OUTPUT:
    
Edema with right pleural effusion , not significantly changed from same day chest CT performed at outside hospital .