Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged , with cephalization of the pulmonary vasculature , increased interstitial lung markings , small bilateral effusions , and fluid in the fissures , compatible with pulmonary edema on a background of COPD . Hemidiaphragms appear flattened . No focal consolidation or pneumothorax .
    OUTPUT:
    
Mild pulmonary edema on a background of suspected COPD . No focal consolidation .