Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited by body habitus . Persistent moderate cardiomegaly is re - demonstrated . The mediastinal contour is unchanged . Mild pulmonary vascular congestion is similar to the previous study . Small bilateral pleural effusions are likely present and unchanged from prior . No focal consolidation or pneumothorax is identified .
    OUTPUT:
    
Little interval change from prior with continued moderate cardiomegaly , small bilateral pleural effusions and mild pulmonary vascular congestion .