Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly and left anterior chest wall ICD and leads are unchanged . Mild unfolding of the thoracic aorta is unchanged . There is increase in the degree of pulmonary edema with blunting of the costophrenic angles consistent with in small bilateral pleural effusions . Opacification at the right base could represent an early atelectasis , though in the appropriate clinical setting superimposed pneumonia would have to be considered .
    OUTPUT:
    
Increasing size of the cardiac silhouette with increased elevation of pulmonary venous pressure . Right basilar opacification could reflect developing pneumonia in the appropriate clinical setting .