Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is stable . Vascular congestion has improved . Bilateral effusions small decreased . There is no pneumothorax . There are no new lung abnormalities . Bibasilar atelectasis have improved . Degenerative changes in the thoracic spine are moderate .
    OUTPUT:
    
Improved vascular congestion . Decrease in the pleural effusions