Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , there has been no significant interval change . Moderate cardiomegaly is again noted with atherosclerotic calcifications of the aortic arch . Pulmonary vascular congestion is again noted . Persistent blunting of posterior costophrenic angle is suggest small left effusion . No acute osseous abnormalities identified .
    OUTPUT:
    
Cardiomegaly with pulmonary vascular congestion and small left effusion .