Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart continues to be enlarged with pulmonary edema . A cardiac device is in stable position with leads projecting over the right atrium and right ventricle . A superimposed infection can not be excluded .
    OUTPUT:
    
Congestive heart failure with pulmonary edema . A superimposed infection can not be excluded , and recommend followup imaging after diuresis .