Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in pulmonary vascular engorgement is consistent with moderate to severe pulmonary edema . Retrocardiac opacity in this setting is most likely atelectasis . Small bilateral pleural effusions are likely also increased without pneumothorax . The heart is stably enlarged with otherwise normal mediastinal contours .
    OUTPUT:
    
Moderate to severe pulmonary edema with small bilateral effusions .