Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild cardiomegaly , increased compared to the prior exam . There is no pneumothorax or pleural effusion . The lungs are well - expanded . Diffusely increased interstitial markings with prominence is consistent with moderate pulmonary edema . ___ B - lines are also seen bilaterally . Additionally , there is increased asymmetric prominence at the right lung apex , which may represent asymmetric pulmonary edema or developing infectious process . The upper abdomen is unremarkable . A left axillary dual lead pacemaker defibrillator is seen with tips in the right atrium and right ventricle as expected .
    OUTPUT:
    
Moderate pulmonary edema . Increased opacity at the right lung apex may represent asymmetric pulmonary edema or a developing infectious process . Re-evaluation after diuresis is recommended .