Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: THE CARDIAC SILHOUETTE REMAINS ENLARGED IN SIMILAR CONFIGURATION AS COMPARED TO PRIOR THOUGH APPEARS LARGER IN SIZE , WHICH MAY RELATE TO DIFFERENCES IN TECHNIQUE or worsening cardiac disease / decompensation . THERE IS VASCULAR CONGESTION . NO DEFINITE FOCAL CONSOLIDATION IS SEEN . THERE IS NO PLEURAL EFFUSION . No pneumothorax is seen .
    OUTPUT:
    
THE CARDIAC SILHOUETTE REMAINS ENLARGED IN SIMILAR CONFIGURATION AS COMPARED TO PRIOR THOUGH APPEARS LARGER IN SIZE , WHICH MAY RELATE TO DIFFERENCES IN TECHNIQUE or worsening cardiac disease / decompensation . THERE IS VASCULAR CONGESTION . NO DEFINITE FOCAL CONSOLIDATION IS SEEN . THERE IS NO PLEURAL EFFUSION .