Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No consolidation , pneumothorax , or pleural effusion is identified . Moderate to severe cardiomegaly is more pronounced today than in ___ the ___ and the pulmonary vasculature is more engorged . There is no clear pulmonary edema .
    OUTPUT:
    
Chronic cardiomegaly , with evidence of mild acute cardiac decompensation . No pulmonary edema or pneumonia .