Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is present . There is mild asymmetric pulmonary edema which is more pronounced on the right . Mediastinal contours are within normal limits . There is no pleural effusion or pneumothorax . No acute osseous abnormalities are seen . Mild degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
Mild asymmetric pulmonary edema with moderate to severe cardiomegaly .