Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low which mildly accentuates the cardiac silhouette which remains severely enlarged . Hilar contours are unchanged . A left - sided dual lead pacer remains in unchanged position . There is increased reticulation and opacities within all lung fields compatible with moderate pulmonary edema . Left sided pleural thickening is unchanged . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Cardiomegaly with moderate pulmonary edema . Concurrent infectious process can not be excluded given the correct clinical circumstance .