Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette . Moderate pulmonary edema worse compared to the prior study . Small bilateral pleural effusions are similar . The previous right internal jugular line has been removed . A left tunneled dialysis catheter is in unchanged position with one tip in the right atrium and one in the cavoatrial junction . Dual lead pacemaker also in stable position . Similar appearance of calcification of the mitral annulus as well as aortic calcification .
    OUTPUT:
    
Worsening volume overload with moderate pulmonary edema and bilateral small pleural effusions .