Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Enlarged cardiomediastinal silhouette is unchanged with moderate cardiomegaly and pulmonary vascular engorgement . Increased multifocal opacities likely represent pulmonary edema given the current history however multifocal pneumonia can not be excluded in the appropriate clinical setting . No pleural effusion or pneumothorax are seen . Support devices are unchanged in position .
    OUTPUT:
    
Increase multifocal opacities likely representing pulmonary edema though multifocal pneumonia can not be excluded in the appropriate clinical setting .