Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is severe cardiomegaly . Aortic knob calcifications are noted . There is no pneumothorax . Small bilateral pleural effusions are likely . Severe pulmonary edema is present . Underlying pneumonia can not be excluded . The upper abdomen is unremarkable .
    OUTPUT:
    
Severe pulmonary edema with severe cardiomegaly . Small pleural effusions are likely present . Pneumonia is not excluded .