Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild - to - moderate pulmonary edema has worsened since this morning . Cardiomegaly is severe in this patient with dual - lead pacemaker . The distal end of the jugular line is hard to assess due to the superimposed pacemaker . Pleural effusions are small if any . There is no pneumothorax .
    OUTPUT:
    
Worsening of mild - to - moderate pulmonary edema .