Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is unchanged . The mediastinal and hilar contours are similar . There is mild pulmonary edema , not substantially changed in the interval . No overt pulmonary edema is seen . Small bilateral pleural effusions are new in the interval with patchy atelectasis noted in the lung bases , more pronounced on the left . Sutures within the left apex are re- demonstrated . Multiple old left sided rib fractures are again noted with partial resection of the left fifth posterior rib .
    OUTPUT:
    
Mild pulmonary edema , not changed in the interval , with increased small bilateral pleural effusions .