Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior study , emphysema is unchanged . Cardiomegaly is worse , with increased peripheral septal lines , indicating early congestive heart failure . No focal consolidation or effusions . No pneumothorax .
    OUTPUT:
    
Findings indicating early congestive heart failure . No pneumothorax or focal consolidation .