FINDINGS:
Moderate cardiomegaly is unchanged compared to exams dating back to , however appears slightly increased compared to exams from .
 There has been interval increase in moderate pulmonary vascular congestion and
 diffuse bilateral interstitial lung markings as well as peribronchiolar
 cuffing concerning for pulmonary edema.  Widening of the superior mediastinum
 is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT
 from .  Right-sided Morgagni hernia is unchanged. There is no
 large pleural effusion or pneumothorax. Compression deformities of the mid
 thoracic spine are unchanged compared to the prior exam.

IMPRESSION:
Interval increase in moderate cardiomegaly with increased diffuse interstitial
 markings concerning for pulmonary edema, however an atypical infection is not
 excluded.