Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP semi-upright portable chest radiograph is obtained . Midline sternotomy wires and mediastinal clips are noted . There is a single - lead pacer device projecting over the right chest wall with lead tip extending into the expected location of the right ventricle . The heart is moderately enlarged and there is diffuse ground - glass opacity in the lungs , likely reflecting mild pulmonary edema . No large effusions are evident . There is no pneumothorax . No focal consolidation concerning for pneumonia . Mediastinal contour appears grossly unremarkable . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly with pulmonary edema .