Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains moderately enlarged with a left ventricular predominance . The aorta is tortuous and diffusely calcified . Mediastinal contours are otherwise unchanged . There is worsening pulmonary edema , now moderate in extent . Small bilateral pleural effusions are likely present . There is no pneumothorax . Compression deformity at the thoracolumbar junction is unchanged . There are multilevel degenerative changes within the thoracic spine .
    OUTPUT:
    
Moderate pulmonary edema , worse compared to the prior study with probable small pleural effusions bilaterally . No mediastinal widening . If there is continued concern for aortic dissection , please note that a chest CTA is recommended .