Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pleural metastases and loculated pleural effusion have not substantially changed since the prior examination . Mild pulmonary congestion , slightly increased since the prior . Moderate cardiomegaly . No pneumothorax . Sternum wire alignment is unchanged .
    OUTPUT:
    
Mild pulmonary vascular congestion increased since the prior . Left pleural loculated effusions and metastases unchanged .