Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe enlargement of the cardiac silhouette is similar to prior , and previously seen to be secondary to pericardial effusion . There is elevated pulmonary vascular congestion and likely bilateral small pleural effusions . There is no frank pulmonary edema . There is an additional opacity at the right lung base .
    OUTPUT:
    
1 . A right basilar consolidation is consistent with pneumonia . 2 . Severe enlargement of the cardiac silhouette is similar to prior , and previously seen to be secondary to a pericardial effusion . 3 . Elevated pulmonary vascular congestion and likely small bilateral pleural effusions . No frank pulmonary edema .