Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is mild pulmonary vascular congestion . Mild cardiomegaly is unchanged from prior study . Left greater than right small bilateral pleural effusions have increased from the prior study . Sternotomy wires and extensive mediastinal clips are unchanged . There is no focal consolidation or pneumothorax .
    OUTPUT:
    
Mild pulmonary vascular congestion with slight interval increase in small bilateral pleural effusions .