Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked enlargement of cardiac silhouette , slightly increased since ___ in association with pulmonary vascular congestion and diffuse interstitial edema . No pleural effusion or focal lung consolidation .
    OUTPUT:
    
Marked enlargement of cardiac silhouette accompanied by pulmonary vascular congestion and new interstitial edema .