Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate interstitial edema has worsened and is now moderate to severe . There is one focal area more confluent in right upper lobe . It could still be asymmetric edema , but close followup to this area is suggested to rule out developing pneumonia . Bilateral small pleural effusions with atelectasis have either worsened or are new . Cardiac contour is moderately enlarged .
    OUTPUT:
    
1 . Worsening of moderate to severe pulmonary edema . 2 . Right upper lobe confluent opacification could still represent asymmetric pulmonary edema ; however , close attention to this area in followup is suggested to rule out developing pneumonia .