Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged . The central pulmonary vessels are again engorged , with bilateral patchy and hazy opacities and multiple Kerley B lines , compatible with mild to moderate pulmonary interstitial edema , all increased in comparison to ___ examination . There is a small right pleural effusion . No pneumothorax or focal consolidation is detected .
    OUTPUT:
    
Central pulmonary venous congestion with mild to moderate interstitial edema and mild cardiomegaly , concerning for cardiac decompensation .