Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , similar when compared to the prior study . Even allowing for the projection , the heart is enlarged . There is prominence of the pulmonary vasculature which appears hazy consistent with a degree of congestive heart failure . No overt pulmonary edema seen . Left lower lobe atelectasis , unchanged . No consolidation or pneumothorax seen .
    OUTPUT:
    
Findings consistent with congestive heart failure . Appearances are grossly unchanged compared to the prior study .