Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One portable AP upright view of the chest . Severe cardiomegaly is stable . There is pulmonary vascular engorgement and mild interstitial pulmonary edema , less severe compared to ___ . No evidence of pneumonia . There are no pleural effusions or pneumothorax . Left transvenous pacemaker wires are seen in the appropriate position . Median sternotomy clips are in appropriate position .
    OUTPUT:
    
Severe cardiomegaly , pulmonary vascular engorgement , and mild interstitial edema consistent with congestive heart failure , less severe compared to ___ .