Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged , slightly increased in the interval . Mediastinal contours are unchanged . There is mild pulmonary edema , worse in the interval with central pulmonary vascular engorgement . No focal consolidation , pleural effusion or pneumothorax is present . Moderate multilevel degenerative changes are seen within the imaged thoracolumbar spine along with partially imaged fusion hardware in the lumbar spine . Remote fracture of the left proximal humerus is again noted , and severe degenerative changes of the glenohumeral joints are present .
    OUTPUT:
    
Mild pulmonary edema and moderate cardiomegaly , worse in the interval .