Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright frontal view of the chest . There vascular congestion and moderate pulmonary edema have increased since ___ . The mediastinal contour is widened . The heart is enlarged . Sternotomy wires and clips over the left mediastinum are related to the prior CABG procedure . There is contrast material in the left upper quadrant , likely from a prior imaging study .
    OUTPUT:
    
Moderate pulmonary edema and vascular congestion is worse since ___ .