Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Evaluation limited due to exclusion of the left CP angle on the frontal projection and the posterior CP recess on the lateral view . Fusion hardware is again noted in the lower cervical spine . The heart remains mildly enlarged . There is mild interstitial pulmonary edema which is not significantly changed from the prior exam . Mediastinal contour is unchanged . No pneumothorax . Small bilateral pleural effusions are likely stable from prior . Old distal clavicle injuries are again seen . Multiple old right rib cage deformities are also noted .
    OUTPUT:
    
No significant change with mild cardiomegaly and mild pulmonary edema with small bilateral effusions .