Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly , central vascular congestion , and interstitial pulmonary edema have increased . However , the moderate left pleural effusion has nearly resolved . There is minimal left lower lobe atelectasis , and no focal consolidation . Changes of CABG with median sternotomy wires , mediastinal clips , and mitral valve replacement . Aorta is tortuous and calcified . Again noted is a dystrophic humeral head with associated joint arthropathy .
    OUTPUT:
    
1 . Congestive heart failure . 2 . Minimal left pleural effusion .