Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at least moderately enlarged , although its contours are difficult to completely assess . There is a moderate to large pleural effusion on the left side , which has increased . There is probably at least a small pleural effusion on the right side . Diffuse bilateral hazy opacification of each lung , although somewhat greater on the right than left , is most likely , at least primarily , due to pulmonary edema . Sclerosis of bones may be associated with metabolic abnormalities associated with renal failure .
    OUTPUT:
    
Findings most consistent with pulmonary edema . Short - term radiographic followup is recommended after diuresis to exclude the possibility of coinciding pneumonia .