Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is again demonstrated . The mediastinal contours are unchanged . There is moderate interstitial pulmonary edema with small bilateral pleural effusions , new compared to the prior study . No pneumothorax is identified . No acute osseous abnormalities are seen .
    OUTPUT:
    
Moderate interstitial pulmonary edema with small bilateral pleural effusions .