Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph there is mild worsening of pulmonary vascular congestion . No focal parenchymal opacities are identified . Moderate cardiomegaly is grossly stable , as are the mediastinal and hilar contours . There is no pleural effusion or pneumothorax . Right - sided Port - A - Cath catheter ends in the right atrium .
    OUTPUT:
    
Slight worsening of mild pulmonary vascular congestion in the setting of stable moderate cardiomegaly . No evidence of pneumonia .