Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is enlarged , similar to prior . Mediastinal contours are also stable . There is moderate pulmonary vascular congestion . No focal consolidation is seen . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Persistent cardiomegaly . Pulmonary vascular congestion . No pleural effusion seen .