Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged but similar compared to the prior exam . The mediastinal and hilar contours are unremarkable . There is minimal pulmonary vascular congestion , but this is improved compared to the previous exam . Small bilateral pleural effusions are re- demonstrated no focal consolidation or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild pulmonary vascular congestion , improved compared to the previous exam , and small bilateral pleural effusions , little changed from prior .