Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy . Cardiac silhouette size is mildly enlarged and unchanged in configuration . Calcified mediastinal lymph nodes are re- demonstrated compatible prior granulomatous disease . Calcification of the pericardium is also re - demonstrated . The mediastinum remains widened compatible with underlying lymphadenopathy and fluid . Moderate pulmonary edema appears worse . Moderate size bilateral pleural effusions appear slightly increased in size compared to the previous radiograph . Consolidative opacities in the lung bases appear worse in the interval . A right sided chest tube is again noted with tip projecting over the medial aspect of the right mid lung . No pneumothorax is identified . Multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
1 . Worsening moderate pulmonary edema . 2 . Increased size of moderate bilateral pleural effusions with right chest tube in place . No definite pneumothorax . 3 . Widening of the mediastinum likely due to underlying lymphadenopathy and fluid . Calcified mediastinal lymph nodes compatible with prior granulomatous disease . 4 . Worsening consolidative opacities in the lung bases which may reflect atelectasis and / or infection .