Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette again remains markedly enlarged , possibly slightly increased as compared to the prior study , although may in part be due to differences in inspiration . No large pleural effusion is seen . There is no definite consolidation . Minimal prominence of the interstitium , may be due to minimal edema .
    OUTPUT:
    
Severe enlargement of the cardiac silhouette with possible minimal interstitial edema .