Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips again noted . Moderate cardiomegaly appears progressed from prior exam . There is hilar congestion and mild to moderate pulmonary edema . Scattered left - sided calcified pleural plaque is noted . There is suture material along the right mid to lower lung reflecting prior wedge resection . No pneumothorax . Bony structures are intact . Extensive vascular calcification in the upper abdomen corresponds with known ectatic calcified thoracic aorta .
    OUTPUT:
    
Moderate cardiomegaly with mild to moderate pulmonary edema . Calcified pleural plaque likely reflects prior asbestos disease .