Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , the cardiac silhouette appears more enlarged . There is increased vascular congestion bilaterally . There is also increased retrocardiac opacity which may be consistent with atelectasis with small left pleural effusion . There is no pneumothorax . Median sternotomy wires status post TAVR unchanged .
    OUTPUT:
    
Increase in heart size with bilateral vascular congestion consistent with heart failure . Increased retrocardiac opacity may be consistent with atelectasis . Small left pleural effusion .