Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pulmonary vascular congestion has increased compared with the prior study with cephalization and no overt edema . Moderate cardiomegaly is unchanged . Pleural effusions , small to moderate on the left and trace on the right have increased compared with the prior study . There is no focal consolidation or pneumothorax . The cardiomediastinal silhouette is normal . Mediastinal widening with leftward deviation of the trachea is unchanged from multiple prior studies and related to enlarged right thyroid lobe .
    OUTPUT:
    
Cardiomegaly with hilar congestion . Small pleural effusions . No focal consolidation .