Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy , CABG , and mitral valve replacement . Heart size remains moderate to severely enlarged . Coronary artery calcifications are re- demonstrated . Aorta is tortuous and diffusely calcified . Mild pulmonary vascular edema with cephalization of the pulmonary vascular markings is demonstrated , slightly improved compared to the prior exam . Lungs remain hyperinflated with flattening of the diaphragms . No definite focal consolidation , pleural effusion or pneumothorax is clearly present . The osseous structures are diffusely demineralized without acute abnormality . Multiple clips are noted in the right upper quadrant of the abdomen .
    OUTPUT:
    
Mild pulmonary edema , slightly improved in the interval .