Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker is present with leads terminating in right atrium and right ventricle . Sternotomy wires and an aortic valve stent ( CoreValve ) are unchanged . There are new , severe bilateral consolidations . There is no pneumothorax . Assessment of the cardiac silhouette and mediastinum is limited by the severe parenchymal abnormalities .
    OUTPUT:
    
Recurrent , severe diffuse bilateral parenchymal opacities are most consistent with severe pulmonary edema , although , diffuse pulmonary hemorrhage can not be excluded . Pneumonia is thought less likely . These findings were discussed with Dr . ___ by Dr . ___ at 10 : 27 on ___ by telephone at the time of discovery .