Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size appears moderately enlarged , perhaps slightly increased compared to the prior exam . The aorta is tortuous and calcified at the aortic knob . There is mild pulmonary edema , which appears worse compared to the prior exam . No pleural effusion or pneumothorax is seen . 2 clips are seen projecting over the upper lung fields bilaterally . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate enlargement of the cardiac silhouette , slightly increased compared to the previous exam , with mild pulmonary edema , which is worse in the interval .