Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette remains enlarged . Mediastinal contours are stable . Patient is rotated to the left . There is slight blunting of posterior costophrenic angles and trace pleural effusion difficult to exclude . Mild pulmonary vascular congestion . No definite focal consolidation . No pneumothorax .
    OUTPUT:
    
Persistent marked enlargement of the cardiac silhouette and pulmonary vascular congestion . Possible trace pleural effusions .