Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is stably enlarged . Again noted is right lower lung opacity and likely pleural effusion , progressed since the most recent examination . There is progression of pulmonary edema . No pneumothorax is identified .
    OUTPUT:
    
1 . Progressed pulmonary edema . 2 . Progressed right pleural effusion and lower lung opacity , which may be related to edema , though infection is not excluded .