Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly and mediastinal vascular engorgement is noted . Bilateral hazy opacities in both lung fields , consistent with moderate to severe pulmonary edema . No large pleural effusions or pneumothorax is seen .
    OUTPUT:
    
Severe cardiomegaly and moderate pulmonary edema .