Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prominence of the interstitial markings is once again present and likely due to pulmonary edema superimposed on emphysema . Cardiac silhouette is again top normal in size . No pleural effusion or pneumothorax . No convincing evidence of pneumonia . Coarse calcifications in the left axilla could be due to calcified lymph node and is unchanged from multiple prior studies .
    OUTPUT:
    
Mild pulmonary edema superimposed on emphysema . No evidence of pneumonia .