Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no notable changed compared to prior . Severely enlarged cardiac silhouette is unchanged and can be secondary to cardiomegaly and / or pericardial effusion . Wide mediastinum is unchanged . Right hemidiaphragm is elevated , similar to prior . Tube terminates 4 .3 cm above the carina . Mild bibasilar opacity is consistent with atelectasis and / or pleural effusion . There is persistent pulmonary vascular congestion .
    OUTPUT:
    
No notable change compared to prior . Mild bibasilar opacity is consistent with atelectasis and pleural effusion . Severely enlarged cardiac silhouette can be secondary to cardiomegaly and / or pericardial effusion .