Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The pulmonary vascular congestion is minimally worse since ___ . No discrete lung opacities concerning for pneumonia . Moderately enlarged heart size is bigger than it was on ___ . Mediastinal and hilar contours are normal . There is no pleural effusion .
    OUTPUT:
    
Mild pulmonary vascular congestion and moderate cardiomegaly have minimally worsened since ___ ; however , there is no pulmonary edema .