Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right pleural effusion and a small left pleural effusion with adjacent bibasilar atelectasis and or consolidation . Moderate to severe cardiomegaly is similar to recent study of earlier the same date , but increased with associated new pulmonary vascular congestion compared to earlier studies such as ___ . There is no frank pulmonary edema . Mediastinal wires and multiple surgical clips are unchanged from the prior study .
    OUTPUT:
    
1 . Interval increase in moderate to severe cardiomegaly and pulmonary vascular congestion . 2 . Unchanged moderate right and small left pleural effusions with adjacent basilar atelectasis and or consolidation .