Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased interstitial markings , asymmetric right perihilar opacity and moderate cardiomegaly are concerning for acute pulmonary edema . There are small bilateral pleural effusions . There is no pneumothorax . There are median sternotomy wires . A calcified left ventricular aneurysm is noted .
    OUTPUT:
    
Moderate cardiomegaly and increased interstitial markings and cephalization is concerning for congestive heart failure .