Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is present . There is mild pulmonary edema with vascular indistinctness and upper zone vascular redistribution . No large pleural effusion or pneumothorax is present though assessment of the lung apices is obscured partially by the patient 's neck overlying these regions . No focal consolidation is present . Moderate multilevel degenerative changes are noted in the thoracic spine . There are no acute osseous abnormalities .
    OUTPUT:
    
Severe cardiomegaly with mild pulmonary edema .