Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is significant enlargement of the cardiac silhouette , similar to prior study . Mild pulmonary vascular congestion is seen . There is a streaky opacity in the right mid lung . No evidence of pneumothorax or pleural effusion .
    OUTPUT:
    
New streaky opacity in the right mid lung , may be due to infection , aspiration , atelectasis . Correlate clinically . Stable moderate - to - severe cardiomegaly and mild pulmonary vascular congestion .