Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Evaluation is somewhat limited due to large body habitus and resultant underpenetration . Allowing for this , there is persistent prominence of the cardiomediastinal silhouette . There is mild to moderate pulmonary edema with hilar congestion . No large effusion or pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly , hilar congestion with mild to moderate pulmonary edema .