Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are normally expanded without focal airspace opacity to suggest pneumonia . There is mild increase in interstitial markings suggesting pulmonary vascular congestion without frank pulmonary edema . There has been interval increase in size of the heart now with moderate to severe cardiomegaly . There are likely small bilateral pleural effusions blunting the costophrenic sulci . There is no pneumothorax .
    OUTPUT:
    
1 . Worsening cardiomegaly now moderate to severe . 2 . Small pleural effusions and pulmonary vascular congestion without frank pulmonary edema . 3 . No evidence of pneumonia .