Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well - expanded . No new focal opacity , though persistent bibasilar atelectasis is probable . Interval increase in the pulmonary edema , now moderate to severe . Asymmetric increased opacities at the left apex are new , but similar compared ___ . Small bilateral pleural effusions have likely increased in size . Mild cardiomegaly is unchanged . Cardiomediastinal hilar silhouettes are unremarkable . Interval removal of a right PICC .
    OUTPUT:
    
Increased , now moderate to severe pulmonary edema . Asymmetric opacities at the left apex may reflect an asymmetric component of edema or aspiration .