Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate alveolar pulmonary edema as well as stable moderate cardiomegaly . Small pleural effusions are possible . Underlying pneumonia can not be entirely excluded . There is no pneumothorax . Sternotomy cerclage wires are intact .
    OUTPUT:
    
1 . Pulmonary edema likely secondary to decompensated congestive heart failure . 2 . Underlying pneumonia in the lung bases would be masked by the edema . If there is concern for infection , consider reimaging after diuresis .