Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly persists . No focal consolidation , pleural effusion , or pneumothorax is seen . Fissural fluid is more conspicuous compared to prior exam . Mediastinal contours are within normal limits . Thoracic vertebral body compression is again noted .
    OUTPUT:
    
Cardiomegaly with mild vascular congestion and trace fissural fluid . Findings reported to Dr . ___ by Dr . ___ by telephone at 19 :40 on ___ .