Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is not in full inspiration . Overall , no significant change compared to the prior exam . Overall stable multi-focal bilateral opacities , without clear evidence of new focal opacities . Stable small bilateral effusions with some tracking in the major fissures . Stable moderate pulmonary edema . Stable cardiomegaly and mediastinal contours . No pneumothorax . The sternotomy wires and cardiac valve devices appear intact and unchanged in position . No acute osseous abnormality .
    OUTPUT:
    
No significant change compared to the prior exam . Stable multi-focal bilateral opacities , small bilateral effusions , and moderate pulmonary edema .