Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is enlarged , similar in size to ___ , but markedly increased when compared to earlier chest x-ray of ___ . Pulmonary vascular engorgement is also present as well as peribronchial cuffing and scattered interstitial opacities . A more confluent patchy opacity in the right infrahilar region is also present , as well as small bilateral pleural effusions , with fluid also demonstrated within the right major and minor fissures .
    OUTPUT:
    
Cardiomegaly and interstitial edema , accompanied by small pleural effusions . Patchy right infrahilar opacity , which may be due to asymmetrical edema , early infectious pneumonia , aspiration , or lupus pneumonitis .