Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette continues to be enlarged . The lung volumes are mildly decreased with associated crowding of the central bronchovascular structures . No focal consolidation is noted . There is no pneumothorax . There may be trace bilateral pleural effusions . Calcification in the right paratracheal region may be from a calcified mediastinal lymph node . Right lateral rib fractures are again noted .
    OUTPUT:
    
Enlarged cardiac silhouette , similar compared to prior . No consolidation to suggest pneumonia . Trace bilateral pleural effusions .