Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is central pulmonary vascular congestion with moderate pulmonary edema . The chronicity of these findings is unknown due to the lack of comparison studies . There is no focal consolidation , pneumothorax , or pleural effusion .
    OUTPUT:
    
Congestive heart failure , likely acute . Acute myocardial infarction should be ruled out as the cause of failure given patient 's young age and acuity of presentation . The patient was transferred to the emergency department for further evaluation . Dr . ___ in the ED was contacted by Dr . ___ ___ telephone on ___ at 16 :45 .