Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to prior study , there is new bilateral pleural effusion , widening of the mediastinal vascular pedicle , and worsened cardiomegaly , now moderate . A component of pulmonary edema may be present . Findings are all suggestive of decompensated cardiac failure . No superimposed opacity to suggest pneumonia . No pneumothorax .
    OUTPUT:
    
Congestive heart failure , with increased cardiomegaly , worsening vascular congestion , and new moderate bilateral pleural effusions .