Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no evidence of pneumothorax or pleural effusions . Moderate pulmonary edema is present . The heart is enlarged and this is stable when compared to the prior exam . The thoracic aorta is slightly ectatic . There is no evidence of pneumoperitoneum and osseous structures are grossly unchanged .
    OUTPUT:
    
Moderate pulmonary edema without focal consolidation to suggest pneumonia or aspiration .