Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy is in place . The heart size is large . The mediastinal contours demonstrate a prominent pulmonary arterial contour . The hilar contours demonstrate engorged central vasculature . The lungs demonstrate pulmonary edema . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
Cardiomegaly and pulmonary edema ; prominent pulmonary arterial contour compatible with pulmonary hypertension .