Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is re- demonstrated . The mediastinal and hilar contours are unchanged . Mild interstitial pulmonary edema appears worse compared to the prior study . Lungs are remain hyperinflated suggestive of COPD . No focal consolidation , pleural effusion or pneumothorax is identified . Right shoulder arthroplasty is partially imaged . There are mild diffuse degenerative changes of the thoracic spine .
    OUTPUT:
    
Mild interstitial pulmonary edema , worse in the interval .