Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior exam , no acute interval change is detected on this single frontal view . Heart size is severely enlarged . Chronic pulmonary vascular engorgement appears unchanged . No new large consolidation or pneumothorax is detected . No large pleural effusions are seen . Right - sided large - bore dialysis catheter terminates in the right atrium , as before . Sternal wires appear similarly positioned . Mediastinal clips are noted .
    OUTPUT:
    
Stable severe cardiomegaly and pulmonary vascular engorgement without focal pulmonary abnormality or edema .