Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Comparison is made with the outside film from___ . Pulmonary edema is present with bilateral pleural effusions and pulmonary engorgement . Cardiac size can not be assessed due to the presence of the bilateral effusions . Appearances have worsened since the admission film at___ on ___ .
    OUTPUT:
    
Worsening pulmonary edema .