Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly , increased interstitial markings and new engorgement of the azygos , ( which lies in an azygos fissure ) is consistent with pulmonary edema . There is no pneumothorax . There are probably small bilateral pleural effusions .
    OUTPUT:
    
Moderate pulmonary edema , cardiogenic .