Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes with worsening pulmonary vascular congestion and interstitial edema . Right - sided pleural effusion has slightly increased . Small left - sided effusion is stable . No pneumothorax . Moderate cardiomegaly . Prior mitral valve repair and spinal hardware are stable .
    OUTPUT:
    
Mild interstitial pulmonary edema and small pleural effusions have increased since the prior .