Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest were obtained . Again seen is mild to moderate cardiomegaly with increased width of the mediastinum , likely reflecting a dilated distal azygos vein . Note is again made of an increased right - sided pleural effusion . Pleural thickening at the right lung base again noted . There is no pneumothorax . There is mild to moderate pulmonary edema but no focal infiltrate concerning for pneumonia . The visualized osseous structures are unremarkable .
    OUTPUT:
    
No pneumonia . Findings most consistent with mild to moderate pulmonary edema including a small right pleural effusion .