Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is markedly enlarged and accompanied by pulmonary vascular engorgement and an asymmetrical perihilar airspace pattern , worse on the right than the left . A few scattered septal lines are also demonstrated peripherally in the lungs . No pleural effusions . ICD is in place with lead terminating in the right ventricle . Vascular calcifications are noted in the thoracic and abdominal aorta as well as in the right subclavian and axillary regions .
    OUTPUT:
    
Marked cardiac enlargement , accompanied by asymmetrical pulmonary edema pattern as described .