Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the recent prior study of ___ , there is new moderate pulmonary edema and worsened pulmonary vascular congestion . A right pleural effusion has increased . There is no focal consolidation or pneumothorax . Moderate to severe cardiomegaly and bihilar enlargement are unchanged . Median sternotomy wires and valve prostheses are stable .
    OUTPUT:
    
New moderate pulmonary edema and enlarging right pleural effusion . No focal consolidation to suggest pneumonia .