Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate - to - severe cardiomegaly , not significantly changed compared with the previous exam , as well as bilateral hilar engorgement and pulmonary artery prominence , also stable from the previous exam and better seen in recent CT which showed enlarged pulmonary arteries , consistent with pulmonary hypertension . There are no focal opacities concerning for pneumonia . There may be a small right - sided pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Stable moderate - to - severe cardiomegaly with associated bilateral pulmonary artery enlargement in keeping with known pulmonary hypertension , better assessed in prior CT . No evidence of pneumonia .