Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Median sternotomy wires appear grossly intact . Numerous surgical clips project over the anterior mediastinum . There are bilateral hazy opacities . ___ B - lines are noted . There small bilateral pleural effusions . Moderate to severe cardiomegaly is unchanged .
    OUTPUT:
    
1 . Moderate pulmonary edema has worsened . 2 . Moderate to severe cardiomegaly is unchanged . 3 . Small bilateral pleural effusions .