Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable supine frontal chest radiograph demonstrates intact median sternotomy wires , mediastinal clips , left chest wall defibrillator with wire tips in the right atrium , right ventricle , and likely coronary sinus . A new endotracheal tube is in appropriate position with tip 6 cm above the level of the carina . Bilateral heterogeneous opacities have increased over last 4 hours , with asymmetric involvement of the right hemi thorax with an upper lobe predominance . New small left pleural effusion with likely small right pleural effusion is present . No pneumothorax . The heart remains moderately enlarged . Mediastinal contour and hila are otherwise unremarkable . Chronic rib cage deformity along right lateral fifth rib is noted .
    OUTPUT:
    
1 . Progression of severe pulmonary edema with persistent moderate cardiomegaly and new small left pleural effusion with likely small right pleural effusion . 2 . Heterogeneous right upper lobe opacity may represent asymmetric pulmonary edema however differential includes pneumonia in the appropriate clinical setting .