Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . MILD CARDIOMEGALY AND PULMONARY VASCULAR CONGESTION HAVE INCREASED SINCE ___ , CONSISTENT WITH MILD CARDIAC DECOMPENSATION , ALTHOUGH THERE IS NO EDEMA OR PLEURAL EFFUSION . . The hilar and mediastinal contours are otherwise normal . There is no pneumothorax . There is no pleural effusion .
    OUTPUT:
    
EARLY CARDIAC DECOMPENSATION .