Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left lower lobe opacity with blunting of the costophrenic angle and left hemidiaphragm overall similar to the prior exam , likely reflecting atelectasis and small left pleural effusion . Dependent increased interstitial markings with indistinct assessed pulmonary vasculature is most suggestive of edema . Heart size is probably enlarged , similar the prior exam . Pulmonary vascular congestion is moderate . No pneumothorax . The right pleural effusion .
    OUTPUT:
    
Findings consistent with volume overload - persistent , increased left pleural effusion , now with increased edema .