Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly has increased in size compared to the prior exam from ___ , and may be secondary to pericardial effusion . There is moderate pulmonary vascular congestion with mild - to - moderate pulmonary edema . No focal consolidations concerning for pneumonia are identified . There is no pleural effusion or pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
Mild - to - moderate pulmonary edema with moderate cardiomegaly increased compared to the prior exam from ___ . An echocardiogram is recommended for further evaluation of possible pericardial effusion . These findings were discussed with Dr . ___ by Dr . ___ by phone at ___ a .m . on the day of the exam .