Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Evaluation is limited due to significant patient rotation to the right . Median sternotomy wires appear intact . Moderately severe enlargement of the cardiac silhouette appears grossly unchanged . Evaluation of the mediastinum is limited due to the significant patient rotation . There is mild interstitial pulmonary edema . The appearance is similar to recent portable radiograph from ___ . Blunting of the bilateral costophrenic angles is chronic and are compatible with persistent small pleural effusions . No confluent consolidation or pneumothorax is present . Evidence of prior vertebroplasty in the mid thoracic spine is unchanged from prior .
    OUTPUT:
    
1 . Limited examination due to poor patient positioning . 2 . Mild interstitial pulmonary edema is similar to recent prior examination with small bilateral pleural effusions . 3 . Stable moderately severe cardiomegaly . 4 . No confluent consolidation or pneumothorax .