Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are fully expanded . Compared to most recent chest radiograph , there has been rapid development of moderate to severe pulmonary edema . An underlying focal consolidation can not be excluded . The cardiomediastinal contour is are slightly enlarged compared to prior . The pleural surfaces are normal .
    OUTPUT:
    
New moderate to severe pulmonary edema most likely secondary to decompensated heart failure .