Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased interstitial markings are again seen bilaterally , grossly similar as compared to the prior study , consistent with mild to moderate pulmonary vascular congestion . No pleural effusion is seen currently . The cardiac silhouette remains mild to moderately enlarged . Mediastinal contours are stable . No focal consolidation is seen .
    OUTPUT:
    
Mild to moderate pulmonary vascular congestion again seen , similar to prior . No definite pleural effusion seen on the current study . Persistent cardiomegaly .