Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate enlargement of the cardiac silhouette which is unchanged . The right PICC has been removed . The mediastinal and hilar contours are relatively unchanged . There is mild interstitial pulmonary edema which is new in the interval . Small bilateral pleural effusions are also noted . No pneumothorax is present . Degenerative changes of the left glenohumeral and acromioclavicular joints are noted .
    OUTPUT:
    
Mild interstitial pulmonary edema and small bilateral pleural effusions .