Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . There is severe pulmonary edema , progressed from prior exam . The heart remains mildly enlarged . No large effusion or pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
Severe pulmonary edema , intervally progressed with cardiomegaly unchanged .