Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacemaker defibrillator with right atrial and biventricular leads is again noted in unchanged position . A right internal jugular approach dialysis catheter present with tip in the right atrium . An aortic valve replacement is also noted . The patient is status post CABG . There is moderate cardiomegaly . The mediastinal and hilar contours are stable with aortic calcifications There is no pleural effusion or pneumothorax . The lungs are well - expanded with increased interstitial markings , consistent with mild edema . There is no focal consolidation concerning for pneumonia .
    OUTPUT:
    
Moderate cardiomegaly with mild edema .