Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is moderate to moderately severe cardiomegaly , similar to prior . Previously seen TAVR is not well visualized on this study , on either the frontal or lateral view . Question due to underpenetration . Clinical correlation is requested . There is residual CHF , but patchy opacities at the lung bases have improved . Bilateral pleural effusions are also is smaller .
    OUTPUT:
    
TAVR not well visualized . Clinical correlation requested . Cardiomegaly similar to prior . Residual CHF . Bibasilar patchy opacities and bilateral pleural effusions are improving .