Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from the same day , left - sided chest tube has been removed . No visible pneumothorax . Moderate pulmonary edema has progressed . Superior mediastinal contours have increased likely worsening vascular congestion . Retrocardiac opacity and left effusion are persistent .
    OUTPUT:
    
No pneumothorax . Worsening moderate pulmonary edema and vascular congestion .