Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One upright portable AP view of the chest . Left - sided pacemaker leads end in the appropriate position . Moderate cardiomegaly is unchanged . There is increased pulmonary vascular congestion and interstitial markings likely representing pulmonary edema and possibly chronic interstitial lung disease . Pleural plaques are not well seen here . There is no definite focal consolidation . There is no pleural effusion .
    OUTPUT:
    
Cardiomegaly and pulmonary vascular congestion with mild pulmonary edema .