Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The bilateral lower lobe consolidation with superimposed pleural effusion is unchanged . There is worsening pulmonary and mediastinal vascular congestion compared to the prior study . The lungs are otherwise clear . The moderate cardiomegaly persists . There is no pneumothorax . The hilar and mediastinal contours are otherwise normal . The left PICC and nasogastric tube are in unchanged and appropriate position .
    OUTPUT:
    
1 . Persistent bilateral lower lobe pneumonia . 2 . Worsening congestive heart failure .