Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: On the background of severe cardiomegaly , there are bilateral diffuse interstitial opacities , more pronounced in the mid and low lung fields with bilateral hilar engorgement . An area of more focal patchy / alveolar consolidation is seen in the right lower lobe . There might be a small right - sided pleural effusion . There is no evidence of pneumothorax . Sternotomy wires and surgical clips are redemonstrated . No subdiaphragmatic free air is seen .
    OUTPUT:
    
Findings compatible with pulmonary edema . More focal area of alveolar consolidation in the right lower lobe raises concern for underlying pneumonia versus aspiration .