Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the interval since ___ , there is new moderate cardiomegaly . There is increased pulmonary vascular congestion . Opacification in the retrocardiac area is concerning for pneumonia or atelectasis . Bilateral pleural effusions are identified .
    OUTPUT:
    
1 . Moderate cardiomegaly has increased since the prior examination . 2 . Bilateral pleural effusions . 3 . Retrocardiac opacification is concerning for pneumonia in the correct clinical setting , less likely severe atelectasis . 4 . Mild pulmonary vascular congestion is increased since the prior exam .