Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires are intact . The heart is enlarged . Bilateral perihilar as well as basilar opacities as well as pulmonary vascular congestion are present . There is no large pleural effusion or pneumothorax . There is increased retrocardiac density .
    OUTPUT:
    
Cardiomegaly and CHF , with left lower collapse and / or consolidation .