Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate small bilateral pleural effusions . Pulmonary edema is new since prior exams . Hilar and mediastinal silhouettes are unremarkable . Heart has slightly increased in size since prior . No pneumothorax . Sternotomy wires appear intact . Multiple clips project over cardiac silhouette . Partial imaged upper abdomen is unremarkable .
    OUTPUT:
    
Cardiomegaly and pulmonary edema is new since ___ exam . Small bilateral pleural effusions are unchanged .