Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate well - expanded lungs . Again seen is pulmonary vascular congestion with bilateral pleural effusions and compressive atelectasis . Cardiomegaly is again seen . There is no gross change since the prior imaging . Slightly improved transparency of the lungs on this exam is likely attributable to this being a PA view compared to previous AP portable images . Cardiomediastinal silhouette is unremarkable and still demonstrates cardiomegaly .
    OUTPUT:
    
Unchanged chest radiograph .