Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly , increased since the prior exam . Additionally , the mediastinum appears significantly widened compared to the prior exam , which was taken with a similar technique and patient positioning . Moderate pulmonary edema is also present . There is a moderate right pleural effusion , which is new . A small left pleural effusion is likely present . Right upper and right lower lobe opacities are new .
    OUTPUT:
    
Widened mediastinum with increased cardiomegaly , moderate pulmonary edema , a new right pleural effusion and multifocal opacities in the right lung . Chest CT is recommended for further evaluation .