Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Cardiomegaly and mild - to - moderate pulmonary edema noted . No large effusions or pneumothorax . Mediastinal contour appears grossly unchanged . Bony structures are intact . Striated sclerotic appearance of the vertebrae likely reflects renal osteodystrophy as clearly seen on the prior CT chest .
    OUTPUT:
    
1 . Cardiomegaly and mild to moderate pulmonary edema . 2 . Bony changes consistent with renal osteodystrophy .