Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Supine portable AP chest radiograph is obtained . There has been interval increase in right pleural effusion , now large with diffuse pulmonary edema . A new moderate left pleural effusion is also seen . Heart size is enlarged . Mediastinal contour is stable . No pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
New pulmonary edema with increased bilateral pleural effusions , large right and moderate left with enlarged cardiac silhouette .