Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there has been no significant change . The cardiac silhouette remains enlarged , related to known cardiomegaly and known pericardial effusion . Catheter overlying the heart may reflect a pericardial drain . Diffuse bilateral pulmonary opacifications are again noted and are likely consistent with pulmonary edema . The underlying pulmonary neoplastic disease is better assessed on torso CT from ___ .
    OUTPUT:
    
No significant change since the prior examination from ___ .