Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two views are compared with most recent study of ___ and previous bedside examination of ___ . There has been some interval improvement in the findings of CHF with resolution of the small bilateral pleural effusions and fissural fluid . However , there is persistent cardiomegaly , pulmonary vascular congestion and interstitial edema . There is persistent diaphragm flattening , which does not appear attributable to the degree of thoracic kyphosis and may reflect underlying obstructive lung disease . Note , there is no evidence of underlying interstitial lung disease on the earliest available ( " ___ ; XGIIP03 " ) radiographs , dated ___ . Noted is atherosclerosis of the thoracic aorta , as well as diffuse osteopenia with no acute - appearing thoracic vertebral compression .
    OUTPUT:
    
Improvement in the pleural effusions the ___ study , with persistent cardiomegaly , pulmonary vascular congestion , and interstitial edema , new since the OSH study of ___ .