Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest , PA and lateral . Compared to the prior examination , there is new pulmonary vascular congestion and mild cardiomegaly . In addition there are heterogeneous opacities in the bilateral lower lobes . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
1 . Mild / early decompensated heart failure . 2 . Depending on clinical context , the bilateral lower lobe opacities could be secondary to pneumonia or aspiration .