Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Very shallow inspiration accentuates heart size , pulmonary vascularity . Bibasilar opacities have worsened , likely atelectasis , consider pneumonia if clinically appropriate . Small pleural effusions , more prominent . Mild interstitial prominence , consider edema . Degenerative changes bilateral shoulders . No pneumothorax . Postoperative changes upper abdomen .
    OUTPUT:
    
Worsened bibasilar opacities , likely atelectasis , consider pneumonia if clinically appropriate . Small pleural effusions are worsened . Interstitial prominence , consider edema . .