Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs remain hyperinflated with flattening of the diaphragms , compatible with COPD . Heart size is moderately enlarged . The aorta is unfolded . Mild interstitial pulmonary edema is new compared to the previous exam . Worsening bibasilar airspace opacities are concerning for areas of infection or aspiration . Probable trace bilateral pleural effusions are present . No pneumothorax is identified . No acute osseous abnormality seen . Multilevel degenerative changes within the thoracic spine are re - demonstrated .
    OUTPUT:
    
New mild interstitial pulmonary edema and worsening bibasilar opacities concerning for worsening infection or aspiration .