Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . Calcifications are seen along the aortic knob . As compared to prior examination , there is worsening pulmonary edema . No large pleural effusion identified . Widened mediastinum is likely secondary to lymphadenopathy .
    OUTPUT:
    
Moderate cardiomegaly with worsening pulmonary edema .