Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the radiograph taken five hours earlier , there has been worsening pulmonary edema as well as mild increase in heart size . The small left pleural effusion is unchanged . The sternal cerclage wires are intact . There is no focal lobar consolidation . There is no pneumothorax .
    OUTPUT:
    
1 . Worsening congestive heart failure . 2 . No residual pneumothorax identified .