Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . Prominent mediastinum is due a least in part to a borderline enlarged ascending aorta . The hilar are unremarkable . Lung volumes are slightly low , and there is an opacity at the left lung base obscuring the left costophrenic angle , which may reflect atelectasis , small pleural effusion , or infection in the correct clinical setting . Nodular interstitial changes are also noted . On the lateral view , note is made of thickened fissures . The upper abdomen is unremarkable . The patient is status post right rotator cuff repair . DISH changes are present throughout the thoracic spine .
    OUTPUT:
    
Overall appearance more consistent with pulmonary edema .