Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no confluent consolidation . Degree of pulmonary vascular congestion and appears slightly worse . Cardiac silhouette is enlarged but similar compared to prior . Blunting of the posterior costophrenic angles suggests tiny bilateral pleural effusions . Median sternotomy wires and mediastinal clips are again seen
    OUTPUT:
    
Cardiomegaly with pulmonary vascular congestion which appears slightly worse compared to prior with tiny bilateral effusions . No focal consolidation .