Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion , focal consolidations or pneumothorax . The hilar and mediastinal silhouettes are unchanged . The descending aorta remains tortuous . Heart is moderately enlarged . Moderate pulmonary edema is present . The pacemaker leads are in place . Post - surgical changes related to medial sternotomy .
    OUTPUT:
    
Mild - to - moderate pulmonary edema with moderate cardiomegaly , progressed since ___ .