Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased pulmonary vascular congestion bilaterally consistent with volume overload . This can be due to decompensated heart failure , renal failure or both . Heart is markedly enlarged as seen on the prior study . Although there are no discrete focal areas of consolidation , a superimposed infectious process can not be excluded . No significant pleural effusions and no pneumothorax .
    OUTPUT:
    
Increased pulmonary vascular congestion .