Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . There are coarse interstitial markings compatible with interstitial pulmonary edema . More confluent opacities are seen in the right lower lung and probably in the retrocardiac region . There is a left - sided pleural effusion . There is no right - sided pleural effusion or pneumothorax . Assessment of cardiac size is limited although there is apparent moderate cardiomegaly , unchanged from prior .
    OUTPUT:
    
Interstitial pulmonary edema and bilateral pleural effusions . Superimposed right lower lobe pneumoniae vs aspiration can not be completely excluded . Correlate clinically .