Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the earlier film and allowing for technical differences , no significant change is detected . Again seen is CHF , with vascular plethora and interstitial edema . Also again seen are left greater than right pleural effusions , with underlying collapse and / or consolidation . As before , the left heart border and left hemidiaphragm are obscured .
    OUTPUT:
    
No significant interval change . CHF with interstitial edema and bilateral effusions with underlying collapse and / or consolidation .