Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increasing pulmonary vascular engorgement and septal thickening in keeping with increased pulmonary edema . Small bilateral pleural effusions are present , greater on the right . No pneumothorax . The size of the cardiac silhouette is enlarged but unchanged . The patient is status post median sternotomy . Chronic appearing right upper rib fractures .
    OUTPUT:
    
Increasing pulmonary vascular engorgement and septal thickening in keeping with increasing pulmonary edema . Small bilateral pleural effusions .