Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , mild cardiomegaly and pulmonary vascular distension in the upper lungs have both increased , consistent with mild cardiac decompensation . Granuloma in the right lateral lower lobe is unchanged , as expected . There is no evidence of active infection . No pleural effusions . No pneumothorax . The cardiomediastinal silhouette and hilar structures are normal .
    OUTPUT:
    
Since ___ , new mild cardiac failure as indicated by worsening mild cardiomegaly and new pulmonary edema . Stable small right lung granuloma .