Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , new bibasilar opacities , right greater than left , are noted . On lateral view , right middle lobe opacity is also present . Persistent prominence of the cardiac silhouette with indistinct engorged pulmonary vessels are consistent with pulmonary vascular congestion . Small bilateral effusions have improved . No pneumothorax .
    OUTPUT:
    
1 . New bilateral lower lung and right middle lobe opacities , right greater the left , concerning for aspiration or pneumonia , given the clinical history . 2 . Persistent pulmonary vascular congestion .