Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest demonstrates interval increase of bilateral fluffy perihilar and infrahilar opacities as well as obscured and prominent cardiac silhouette , compatible with moderate congestive heart failure . There is persistent opacity involving the cardiophrenic angles . Supervening pneumonia and or aspiration can not be excluded in the appropriate clinical setting . Small effusions can not be excluded . There is no pneumothorax . Atherosclerotic calcifications are seen in the aortic arch .
    OUTPUT:
    
1 . Findings compatible with moderate congestive heart failure , with interval worsening since ___ . 2 . Supervening lower lobe infection and / or aspiration can not be excluded in the appropriate clinical setting .