Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Midline sternotomy wires and mediastinal clips are again noted . Cardiomegaly is mild - to - moderate . There is pulmonary interstitial and alveolar edema . No large pleural effusions are seen . A coarse calcification residing in the superior mediastinum may represent a lymph node . Imaged osseous structures appear intact . DISH - related changes of the T - spine noted .
    OUTPUT:
    
Cardiomegaly with pulmonary edema .