Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interstitial edema has worsened and there is now moderate - to - severe alveolar preliminary edema . There is a more focal zone in right mid lung that could be edema , aspiration or pneumonia . Right lower lung consolidation is obscured by the pulmonary edema . Mild cardiac enlargement and left pectoral atrioventricular pacemaker is unchanged . Small pleural effusion if any . There is no pneumothorax .
    OUTPUT:
    
1 . Moderate - to - severe alveolar pulmonary edema has worsened . 2 . There is a new focal consolidation in right middle lobe that could be related only to pulmonary edema , but new aspiration pneumonia can not be excluded . The new right lower lobe consolidation that has worsened yesterday is partly obscured by pulmonary edema . Dr . ___ has been verbally contacted for the results .