Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , an increase in pulmonary vascular congestion is noted . No evidence of pneumonia , pleural effusion , or pneumothorax . Severe cardiomegaly is unchanged . There has been interval removal of large bore vascular cannula from the right atrium . The known calcified mass in the right upper quadrant is unchanged .
    OUTPUT:
    
1 . Since ___ , an increase in pulmonary vascular congestion is noted with unchanged severe cardiomegaly .