Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect AP view of the chest was reviewed . Compared to the prior study , there is increased engorgement of the pulmonary vessels , particulary in the the upper lobes , and the mediastinal veins . Moderate cardiomegaly is unchanged . The lungs are clear and there is no pulmonary edema .
    OUTPUT:
    
New biventricular heart failure and / or volume overload . The lungs are clear without evidence of pneumonia or pulmonary edema .