Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Severe cardiomegaly is again noted . Dual - lead pacing device is again noted . There is engorged central pulmonary vascular marking and overall mild pulmonary edema worse than on prior . No acute osseous abnormality is identified .
    OUTPUT:
    
Massive cardiomegaly and mild pulmonary edema .