Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in the transverse cardiac diameter with pulmonary vascular congestion and parahilar peribronchial cuffing suggesting pulmonary edema . No obvious Kerley B lines or pleural effusions . Surgical material again noted projecting over the left lung apex .
    OUTPUT:
    
Findings suggestive of cardiac decompensation or fluid overload . No pneumonia .