Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior chest radiograph , cardiomegaly is now moderate to severe , with indistinct pulmonary vasculature , thickening of the right major fissure , and small bilateral pleural effusions . The mediastinal veins are wider . The fiducial seed in the right hilus is unchanged in position . No pneumothorax detected .
    OUTPUT:
    
Worsening pulmonary edema and cardiomegaly .