Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph obtained . An AICD is in unchanged position with lead tips extending into the right atrium and right ventricle . The heart is moderately enlarged . There is diffuse pulmonary edema evidenced by subtle ground - glass opacity . No large pleural effusions are seen . Midline sternotomy wires and mediastinal clips are also noted . No pneumothorax . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly with pulmonary edema .