Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates left mediastinal clips . Heart size is again mildly enlarged , not substantially changed . Pulmonary edema is increased compared to the prior exam from earlier the same day , now moderate to severe . Again seen are bilateral small pleural effusions , left greater than right . Probable bibasilar atelectasis is present . There is no pneumothorax .
    OUTPUT:
    
Moderate to severe pulmonary edema , increased compared to chest radiograph from earlier on the same day . Small bilateral pleural effusions and probable bibasilar atelectasis .