Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is moderate - to - severe cardiomegaly , overall unchanged compared to the prior exam . There is evidence of mild pulmonary vascular congestion as well as diffuse mild bilateral pulmonary edema . There is an area of increased consolidation at the right lower lobe , concerning for a superimposed infection . There is a small right pleural effusion . There is no evidence of a pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
Severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema , with increased consolidation at the right lower lobe concerning for pneumonia . Small right pleural effusion .