Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the most recent prior study ___ , moderate to severe cardiomegaly , hilar enlargement bilaterally , and moderate pulmonary vascular are unchanged , consistent with history of pulmonary hypertension . The previously multifocal nodular opacities in confluent right lower lobe consolidation have resolved . There is no pleural effusion , pneumothorax , or frank pulmonary edema . ___ intact median sternotomy wires and a mitral valve prosthesis are unchanged . A right IJ central venous catheter has been removed .
    OUTPUT:
    
1 . Moderate to severe cardiomegaly with associated pulmonary vascular congestion and bihilar enlargement consistent with pulmonary arterial hypertension without frank edema . 2 . No focal consolidation .