Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph was obtained . Compared to the most recent prior radiograph , there are new diffuse bilateral pulmonary infiltrates . In addition , there has been significant enlargement of the cardiac silhouette , prominence of the pulmonary artery , and distention of the azygous vein , consistent with right heart failure . These findings are concerning for cor pulmonale in the setting of acute sickle cell crisis . Bilateral infiltrates are likely due to pulmonary edema ; however , infarction and infection can not be excluded . There is no pleural effusion or pneumothorax . Also demonstrated are multiple loops of distended large bowel , although the abdomen is incompletely evaluated on this film .
    OUTPUT:
    
1 . Since the recen radiograph one day prior , there has been development of new bilateral diffuse pulmonary infiltrates , likely pulmonary edema , however infection and infarction can not be excluded . 2 . Development of marked cardiomegaly and findings consistent with heart failure . 3 . Multiple loops of distended large bowel incompletely imaged on this radiograph . These findings were discussed with the resident caring for the patient by Dr . ___ ___ telephone at 2 :45 p .m .