Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The heart remains moderately enlarged with an LV configuration . The aorta is unfolded . There is widening of the superior mediastinum which likely reflects vascular ectasia and has been previously assessed on prior CT chest from ___ . Tiny clips project over the right mid shaft . There is mild interstitial edema without focal consolidation , effusion or pneumothorax . Underlying emphysema is again noted . There is atherosclerotic calcification of the aortic knob . Bony structures appear intact .
    OUTPUT:
    
Cardiomegaly with mild pulmonary edema . No definite signs of superimposed pneumonia or effusion .