Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly with mildly tortuous thoracic aorta . The central pulmonary vasculature is engorged with ill - defined borders and diffuse increased reticulation compatible with moderate pulmonary edema . There is no pleural effusion or pneumothorax . A left - sided dual - lead pacer is unchanged in position compared to ___ .
    OUTPUT:
    
Moderate cardiomegaly with moderate interstitial pulmonary edema . No focal consolidation to suggest superimposed pneumonia .