Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable chest radiograph was provided . There are prominent interstitial markings , upper zone re-distribution , as well as central vascular engorgement , consistent with pulmonary edema . Indistinctness at the left base may represent a layering effusion . The heart is enlarged . There is no pneumothorax or focal consolidation .
    OUTPUT:
    
Moderate pulmonary edema , cardiomegaly and likely small left pleural effusion . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 10 : 10 am .