Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains moderately enlarged . The mediastinal contour is similar with a moderate size hiatal hernia re - demonstrated . The aorta is diffusely calcified . Mild pulmonary vascular congestion is not substantially changed in the interval . No focal consolidation or pneumothorax is detected of the right costophrenic angle is excluded from the field of view . Trace bilateral pleural effusions likely are unchanged . Several left chest wall clips are again noted .
    OUTPUT:
    
Mild pulmonary vascular congestion with trace bilateral pleural effusions .