Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked cardiomegaly is unchanged . Compared with the prior radiograph , there are increased bilateral diffuse interstitial lung markings and ___ B - lines , suggesting worsened pulmonary edema . Small bilateral pleural effusions are also identified . No focal consolidation is identified . No large pleural effusions or pneumothorax .
    OUTPUT:
    
Findings suggestive of moderate to severe interstitial pulmonary edema .