Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is re- demonstrated . The mediastinal contour is unremarkable with atherosclerotic calcifications demonstrated at the aortic knob . Moderate pulmonary edema appears slightly worse in the interval . No large pleural effusion or pneumothorax is seen . Bibasilar airspace opacities likely reflect areas of atelectasis . Degenerative changes are noted in the thoracic spine as well as within the acromioclavicular joints bilaterally .
    OUTPUT:
    
Moderate pulmonary edema , slightly worse in the interval with moderate to severe cardiomegaly .