Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Decreased lung volume is due to primarily to increasing bilateral pleural effusion , moderate on the right and large on the left . Pulmonary edema is mild . Left lower lobe atelectasis is severe . Moderate cardiomegaly is unchanged . Mitral annulus and aortic valve calcification are heavy .
    OUTPUT:
    
Increasing moderate right and large left pleural effusion . Persistent mild pulmonary edema . Moderate cardiomegaly likely due to valvular heart disease , especially aortic stenosis .