Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac and mediastinal silhouettes are stable with unchanged moderate cardiomegaly . There is again pulmonary vascular congestion , similar to prior . There is slight blunting of the costophrenic angles , consistent with trace pleural effusions . Posterior right lower lobe coiling is again seen . There is no pneumothorax or focal consolidation . Deformity of the posterior left eighth rib is again seen .
    OUTPUT:
    
Trace bilateral pleural effusions . Stable pulmonary vascular congestion and cardiomegaly .