Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate pulmonary edema and mediastinal vascular pedicle engorgement are increased from ___ , accentuated by lower lung volumes . Cardiomegaly is stable from ___ . The aorta is tortuous . Tiny if any pleural effusions .
    OUTPUT:
    
Moderate congestive heart failure , worse than on ___ .