Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate - to - severe cardiomegaly with significant contribution from the left atrium is reidentified . Mitral annular calcification is again seen . There are increased diffuse interstitial markings bilaterally with associated bilateral pleural effusions . No pneumothorax is identified . No focal opacity concerning for pneumonia .
    OUTPUT:
    
Pulmonary interstitial edema in the setting of moderate - to - severe cardiomegaly and mitral valve disease . No evidence of pneumonia .