Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is interval increase of the heart size as well as vascular congestion . There may be mild interstitial thickening . Widened vascular pedicle and distended azygos vein . No overt alveolar pulmonary edema or pleural effusions . No airspace consolidation seen . No pneumothorax . Orogastric tube projecting over the esophagus and coursing out of picture inferiorly . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Interval increase in heart size with vascular congestion suggests fluid overload or cardiac decompensation . No obvious features to suggest pneumonia , but this can not be excluded with absolute certainty .