Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A bedside AP radiograph of the chest demonstrates new pulmonary edema as well as engorgement of the mediastinal vasculature , consistent with acute exacerbation of congestive heart failure . In addition there may be consolidation of the left lower lobe obscuring the descending aortic contour . There is no pneumothorax or pleural effusion . The heart size is top normal .
    OUTPUT:
    
Acute decompensated congestive heart failure with consolidation of the left lower lobe which may represent underlying pneumonia , new since the CTA obtained ___ .