Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . The patient is still intubated , the ETT terminate in the trachea some 5 cm above the level of the carina . The heart appears markedly enlarged . This is possibly accentuated by the AP technique and the markedly recumbent position of the patient . The pulmonary vasculature is very hazy and there exist bilateral mostly centrally located parenchymal infiltrates , most likely representing acute pulmonary edema . No pneumothorax can be seen . No other indwelling tubes are seen . In comparison with the next preceding chest examination of ___ , only mild - to - moderate cardiac enlargement exists at that time , and there were no signs of acute pulmonary congestion or pleural effusion .
    OUTPUT:
    
Patient is intubated . Pulmonary findings and cardiac enlargement indicative of severe CHF with pulmonary edema . Referring physician , ___ ___ was paged at 4 :40 p .m .