Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are normally expanded . There is increasing pulmonary congestion at the lung bases and worsening cardiomegaly especially the left ventricle . The mediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . Mid thoracic compression deformities are re - demonstrated .
    OUTPUT:
    
Increasing cardiomegaly and pulmonary vascular congestion .