Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderately severe pulmonary edema is accompanied by a small right pleural effusion . There is no consolidation , large pleural effusion or pneumothorax . Cardiomegaly is severe . Sternal wire disruption and displacement are consistent with known sternal dehiscence , unchanged since ___ . There is a large air - fluid level in the stomach .
    OUTPUT:
    
Cardiomegaly and moderate pulmonary edema consistent with congestive heart failure .