Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph . Right - sided PICC and left - sided dual - chamber pacer leads are in stable position . Moderate interstitial edema is stable to slightly worse from ___ , and small bilateral pleural effusions have increased . There is no pneumothorax . The cardiomediastinal silhouette is stable .
    OUTPUT:
    
Slight interval worsening of moderate interstitial edema since ___ .