Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volume is small , exaggerating pulmonary vascular markings . Pulmonary edema is grossly unchanged . Pulmonary venous congestion is also unchanged . No new consolidation . Bilateral pleural effusions are unchanged . Severe cardiomegaly is stable .
    OUTPUT:
    
Unchanged pulmonary edema , pulmonary venous congestion , and pleural effusion .