Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette silhouette is enlarged , unchanged compared with ___ . Upper zone redistribution and diffuse increased interstitial markings are also similar . There is thickening of the minor fissure . The inspiratory volumes are slightly low , with elevated diaphragms . There is opacity at both bases peripherally , suggestive of small bilateral pleural effusions . There is bibasilar atelectasis . Again seen is increased retrocardiac opacity , consistent with left lower lobe collapse and / or consolidation .
    OUTPUT:
    
Findings consistent with CHF , including extensive interstitial edema and probable small areas of alveolar edema , as well small bilateral effusions . This has worsened compared with 05 : 24 on ___ , but is similar to the most recent prior chest x-ray from 11 :37 ___ . Although note is made that PJP ( PCP ) pneumonia can appear similar to CHF , the rapid course of development is more suggestive of CHF . Persistent retrocardiac opacity , consistent with left lower lobe collapse and / or consolidation , similar to the prior film . Cardiomegaly , unchanged .