Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable with severe cardiomegaly . Pacer lead is in standard position . Mitral ring in place . Mild pulmonary edema is unchanged . . There is no pneumothorax or pleural effusion . Sternal wires are intact . There are mild degenerative changes in the thoracic spine
    OUTPUT:
    
Stable mild pulmonary edema and severe cardiomegaly