Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are diffuse parenchymal consolidations , unchanged in appearance from the prior study . The heart size is moderately enlarged and there is evidence of some pulmonary vascular congestion and a small loculated pleural effusion on the right . No evidence of pneumothorax .
    OUTPUT:
    
Pneumonia and mild pulmonary edema , unchanged in appearance from the prior exam .