Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with chest radiograph from ___ , there is no focal consolidation , effusion , or pneumothorax . Right middle and left lower lobe atelectasis is slightly worse . Consolidation in the left lower lobe suggests pneumonia . There is mild pulmonary vascular congestion without evidence of acute cardiac decompensation . Small left pleural effusion is unchanged . Mediastinal and hilar contours are stable . Moderate cardiomegaly is chronic .
    OUTPUT:
    
1 . Left lower lobe consolidation suggest pneumonia . 2 . Worsening right middle and lower lobe atelectasis . 3 . Mild pulmonary vascular congestion without overt pulmonary edema . 4 . Small left pleural effusion .