Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe enlargement of the cardiac silhouette persists . Prominence of the hila is again seen . There is slight increase in opacity projecting over the right suprahilar region which most likely relates to vascular structures but underlying consolidation is not excluded . There is a small right pleural effusion . Findings of renal osteodystrophy are again demonstrated . Moderate pulmonary vascular congestion .
    OUTPUT:
    
Persistent severe enlargement of the cardiac silhouette . Moderate pulmonary vascular congestion . Slight increase in opacity projecting over the right suprahilar region may relate to vascular structures underlying consolidation is not Excluded . Small right pleural effusion .