Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ . Pulmonary vascular congestion has not changed . Bilateral lower lobe opacities are new . Small bilateral pleural effusions are also new . Cardiac size is top - normal . Multiple H shape vertebral bodies are present .
    OUTPUT:
    
Increasing bibasal opacities and small pleural effusions . Mild pulmonary vascular congestion unchanged .