Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips are again noted . The heart remains markedly enlarged . There is mild pulmonary edema noted , new from prior . Patient is slightly rotated to the left . Mediastinal contour stable . No pneumothorax . No large effusion . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Marked cardiomegaly with mild pulmonary edema .