Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable upright chest radiograph demonstrate save rotated patient . The heart is mildly enlarged . Perihilar bilateral patchy opacities as well as indistinct central vessels are most suggestive of pulmonary edema . There is no large pleural effusion . Mediastinal and hilar contours are stable relative to prior radiograph dated ___ . Osseous there is demonstrate chronic appearing multiple left - sided rib deformities .
    OUTPUT:
    
Cardiomegaly with pulmonary edema , progressed since prior study dated ___ .