Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable cardiomegaly , with worsening congestive heart failure manifested by pulmonary vascular engorgement , perihilar haziness , and widespread septal thickening . An apparent focal rounded area of consolidation is seen in the left upper lob ein the juxtahilar region at the level of the left third anterior rib , but is difficult to assess due to an overlying external monitoring lead at this site . Persistent bilateral small pleural effusions are present . Note is made of previous median sternotomy and coronary artery bypass surgery .
    OUTPUT:
    
1 . Worsening congestive heart failure with increasing interstitial edema . 2 . Focal opacity in left upper lobe . Followup radiographs after diuresis may be helpful to distinguish an asymmetrical area of edema from a focal pneumonia .