Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Extensive spinal fusion hardware is again noted along with midline sternotomy wires . Cardiomegaly is again noted with hilar congestion and mild to moderate pulmonary edema . No large effusion or pneumothorax seen . Bony structures appear grossly intact .
    OUTPUT:
    
Cardiomegaly with congestion and mild to moderate pulmonary edema .