Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval worsening of the perihilar central opacities and interstitial opacities , representing worsening pulmonary vascular congestion and pulmonary edema . Left pleural effusion has also increased . The heart remains moderately enlarged .
    OUTPUT:
    
Interval worsening pulmonary edema and new left pleural effusion .