Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the prior examination , there has been no significant interval change in the patient 's moderate pulmonary vascular congestion . Severe , stable cardiomegaly is again noted . Small , bilateral pleural effusions are seen . There is no focal consolidation or pneumothorax identified .
    OUTPUT:
    
1 . Stable , severe cardiomegaly with unchanged mild to moderate pulmonary vascular congestion . 2 . No definitive radiographic evidence for an acute infectious process .