Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . Lung volumes are low . Central pulmonary vascular congestion and moderate interstitial edema has worsened since the ___ examination . There is no pneumothorax . Trace pleural effusions are present .
    OUTPUT:
    
Cardiomegaly with central pulmonary vascular congestion with moderate interstitial edema .