Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral increased reticular opacities throughout the lungs consistent with moderate - to - severe pulmonary edema . The cardiomediastinal silhouette appears enlarged in comparison to prior study . Additionally , focal opacity is noted overlying the right hemithorax . There are bilateral small pleural effusions . The lungs are without pneumothorax . No acute fractures are identified .
    OUTPUT:
    
1 . Evidence of heart failure with enlarged cardiomediastinal silhouette as well as moderate - to - severe pulmonary edema . 2 . Focal opacity in the right lower lobe may be representative of atelectasis , asymmetric pulmonary edema , or pneumonia . 3 . Bilateral small pleural effusions .