Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle . There is pulmonary edema which appears progressed from the chest CT performed earlier today . No large effusion or pneumothorax is seen . Multiple pulmonary nodules are better assessed on the CT exam from earlier today . Heart size is mildly enlarged . Mediastinal contour appears grossly within normal limits . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
1 . Pulmonary edema , cardiomegaly . 2 . Multiple pulmonary nodules better assessed on CT concerning for metastasis .