Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly and moderate pulmonary edema as well as a suspected small left - sided pleural effusion . The possibility of focal opacity in the medial right lower lung is also raised by asymmetry of opacification in this area and obscuring of the right heart border . There are severe degenerative changes of the thoracic spine , similar to ___ , including similar thoracolumbar compression deformities .
    OUTPUT:
    
Moderate pulmonary edema . Equivocal focal opacity at the right medial lung base ; follow - up radiographs are recommended after treatment of edema to assess for whether it may persist .