Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette is re - demonstrated . The mediastinal and hilar contours are unremarkable . There is no pulmonary edema . Lungs remain hyperinflated . No focal consolidation or pneumothorax is identified . There may be tiny , if any , bilateral pleural effusions , decreased in size compared to the previous exam . No acute osseous abnormalities seen .
    OUTPUT:
    
Minimal , if any , bilateral pleural effusions . No evidence for pneumonia or congestive heart failure .