Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is significant cardiomegaly with what appears to be significant atrial enlargement suggesting possible mitral valve disease . There is some pulmonary hyperinflation seen . There is a small right - sided effusion . PA pulmonary edema at this stage is minimal . Left - sided pacemaker is in situ and
    OUTPUT:
    
No significant pulmonary edema .