Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly . Median sternotomy wires are again noted as well as a prosthetic aortic valve . There is a small right pleural effusion . In addition , there is increased parenchymal opacity at the right lung base slightly progressed since prior . Mild pulmonary edema is also noted , unchanged . The left lung is grossly clear . Although left rib fractures are identified .
    OUTPUT:
    
Cardiomegaly , small right pleural effusion and mild pulmonary edema . More confluent right basilar opacity suspicious for pneumonia in the proper clinical setting . Please note that a repeat will be necessary to document resolution given similar finding present in ___ .