Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked cardiomegaly is unchanged . The mediastinal and hilar contours are stable . Previous pattern of pulmonary vascular congestion has improved . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Marked cardiomegaly with continued improvement in previous pattern of pulmonary vascular congestion .