Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiograph , pulmonary edema is worsening , now severe with bilateral pleural effusions and unchanged cardiomediastinal silhouette . No Pneumothorax .
    OUTPUT:
    
Worsening pulmonary edema , now severe with bilateral pleural effusions and probable severe cardiomegaly . Mediastinal contour is unchanged .