Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph . There are worsened central alveolar opacities along with increased interstitial markings and thickening of the intralobular septa in the peripheral lungs , all consistent with pulmonary edema . The heart is mildly enlarged . Dual - chamber pacer leads are in stable position . Median sternotomy wires are intact .
    OUTPUT:
    
Moderate pulmonary edema , worsened from 4 :39 a .m .