Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly and moderate pulmonary edema as well as a large layering right pleural effusion are compatible with cardiac failure . The patient is status post median sternotomy . Hyperinflation is noted as well .
    OUTPUT:
    
Moderate cardiomegaly , moderate pulmonary edema and large right pleural effusion .