Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD / pacemaker device is noted with leads terminating in the region of the right atrium and right right ventricle , unchanged . Mild to moderate cardiomegaly is re - demonstrated . There is moderate pulmonary edema , not substantially changed in the interval . The mediastinal contours are similar . No focal consolidation , pleural effusion or pneumothorax is visualized . No acute osseous abnormality is identified .
    OUTPUT:
    
Moderate pulmonary edema .