Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiographs were obtained . Compared with ___ , the hila are less distinct . There is cephalization and indistinctness of the pulmonary vasculature with perihilar haziness . Bilateral pleural effusions are small . Moderate cardiomegaly is unchanged . No pneumothorax . Calcified mediastinal and hilar lymph nodes are better noted on the prior exams .
    OUTPUT:
    
Moderate congestive heart failure , worse since ___ .