Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is unchanged . There is no pleural effusion or pneumothorax . There is no definite focal consolidation to raise concern for pneumonia . There is pulmonary vascular congestion with mild to moderate pulmonary edema . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Severe cardiomegaly and mild to moderate pulmonary edema .