Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Even allowing for the projection , the heart appears grossly enlarged . There is prominence of the bilateral hila . No frank pulmonary edema seen . No definite pleural effusion . Multilevel degenerative changes throughout the thoracic spine . No consolidation or pneumothorax seen .
    OUTPUT:
    
Findings consistent with congestive heart failure but no overt pulmonary edema . The right pleural effusion is no longer clearly seen .