Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains markedly enlarged . The aorta is calcified and tortuous . Minimal pulmonary vascular congestion persists but appears improved compared the prior study . No large pleural effusion is seen . There is no pneumothorax . Basilar atelectasis is again seen .
    OUTPUT:
    
Minimal pulmonary vascular congestion , slightly improved as compared to the prior study . Persistent marked enlargement of the cardiac silhouette .