Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is unchanged . Pulmonary vasculature is engorged . Bilateral opacities have significantly increased from the prior study and likely represent worsening pulmonary edema . There is no appreciable pleural effusion . No pneumothorax is identified .
    OUTPUT:
    
Worsening bilateral opacities , suggestive of worsening pulmonary edema .