Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: RESPIRATORY MOTION OBSCURES FINE DETAIL IN THE LUNGS . MODERATE TO SEVERE CARDIOMEGALY IS MORE PRONOUNCED TODAY THAN IN ___ . VASCULATURE IN THE LUNGS AND HILA IS MORE ENGORGED ALTHOUGH THERE IS PROBABLY NO PULMONARY EDEMA . PLEURAL EFFUSION IF ANY IS MINIMAL . NO PNEUMOTHORAX . NO MEDIASTINAL WIDENING .
    OUTPUT:
    
1 . INCREASE IN SEVERE CARDIOMEGALY AND NEW PULMONARY VASCULAR ENGORGEMENT ACUTE ON CHRONIC CARDIAC DECOMPENSATION .