Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right pleural effusion with increased haziness in the adjacent right mid to lower lung zone . No pneumothorax identified . Pulmonary edema is also present . The size the cardiomediastinal silhouette is mildly enlarged . Degenerative changes of both shoulders , greater on the left .
    OUTPUT:
    
New pulmonary edema . Bilateral lower lung zone hazy and patchy opacities may be secondary to pulmonary edema however superimposed multifocal pneumonia should also be considered given the provided clinical history .