Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is little change compared to prior examination with redemonstration of global severe cardiomegaly with pericardial drain in place . There has been no further enlargement of the cardiac silhouette . Hilar contours are unchanged . Mild vascular congestion with small bilateral effusions and bibasilar atelectasis is unchanged . There is no pneumothorax .
    OUTPUT:
    
Little change compared to prior examination without further enlargement of the cardiac silhouette .