Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , there has been interval progression in the degree of pulmonary edema . Probable small bilateral effusions are noted . Moderate to severe cardiomegaly is similar . Left chest wall dual lead pacing device is again noted . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly with mild to moderate pulmonary edema .