Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates diffuse interstitial opacities , likely representing moderate fluid overload , slightly increased from prior . Increased bibasilar opacities are consistent with layering pleural effusions as well with atelectasis / pneumonia . No large pleural effusion is seen . No apical pneumothorax is identified . Cardiomegaly is noted . Epigastric surgical clips are noted .
    OUTPUT:
    
Slightly increased moderate pulmonary edema . Layering bilateral pleural effusions with associated bibasilar atelectasis / pneumonitis . This preliminary report was reviewed with Dr . ___ , ___ radiologist .