Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , moderate to severe pulmonary edema has worsened and severe cardiomegaly is unchanged . No pneumothorax . Small pleural effusions are presumed but unchanged . Median sternotomy wires are intact and aligned .
    OUTPUT:
    
1 . Worsening moderate to severe pulmonary edema with unchanged severe cardiomegaly .