Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The size the cardiac silhouette is enlarged . There are new patchy airspace opacities bilaterally as well as layering bilateral pleural effusions in keeping with pulmonary edema . No pneumothorax identified . Skin ___ project over the lower neck .
    OUTPUT:
    
New pulmonary edema with layering bilateral pleural effusions .