Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is significantly enlarged with severe right atrial dilatation confirmed on same - day CT . Mild interstitial pulmonary edema is unchanged ; however , with increase in bilateral layering moderate - sized pleural effusions . Two roughly 4 cm masses in the left apex are better evaluated on the same - day chest CT and correspond to a solid and another lesion with central fluid density . There is no pneumothorax .
    OUTPUT:
    
1 . Persistent mild pulmonary edema with increase in bilateral pleural effusions . 2 . Two large masses in the left lung apex , better evaluated on the same - day chest CT .