Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is moderately enlarged . There is central pulmonary vascular engorgement with indistinct margins as well as increased peripheral reticulations and increased perihilar and bibasilar opacities compatible with moderate pulmonary edema . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly with moderate pulmonary edema . Concurrent infection can not be excluded given the clinical circumstance .