Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 19 : 14 is submitted .
    OUTPUT:
    
The heart remains markedly enlarged which may reflect cardiomegaly , although pericardial effusion should also be considered . There is perihilar vascular engorgement with interval improvement in the mild pulmonary edema . No focal airspace consolidation is seen to suggest pneumonia . No pneumothorax .