Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again identified are bilateral widespread mid upper and lower zone opacities that remain unchanged . Tracheostomy tube and left PICC are unchanged in position ; multiple EKG leads overlie the chest wall . Bilateral pleural effusions , and cardiomegaly with slight interval worsening compared to the prior radiograph .
    OUTPUT:
    
Overall unchanged widespread lung opacities with interval mild worsening of bilateral pleural effusions and cardiomegaly with possible underlying pulmonary edema .