Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . Probably overall not a significant interval change when accounting for differences in patient position and imaging technique . Slightly hazy opacification of the lower lungs bilaterally is likely secondary to dependent small pleural effusions on this semi erect film . Moderate to severe cardiomegaly persists and is overall unchanged . Pulmonary vascular congestion is probably also overall unchanged . Pulmonary edema is minimal if any , and likely dependent if present . No pneumothorax .
    OUTPUT:
    
No significant interval change .