Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs on ___ , there has been interval increase in the cardiomediastinal silhouette , with central vascular congestion . There is atelectasis at the left lung base and a small left pleural effusion . There is no overt pulmonary edema . There is no focal consolidation or pneumothorax . No displaced rib fractures are visualized .
    OUTPUT:
    
Worsening cardiomegaly , with vascular congestion small left pleural effusion . No overt pulmonary edema . No pneumonia .