Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable AP chest radiograph demonstrates an enlarged heart . Pulmonary vascular redistribution , left pleural effusion and interstitial edema , most compatible with congestive heart failure . No focal consolidation concerning for pneumonia is identified . There is no pneumothorax . Visualized osseous structures demonstrate no acute abnormality . Surgical ___ are again demonstrated in the left axilla .
    OUTPUT:
    
Enlarged heart , pulmonary edema and left lower lobe pleural effusion , present on prior examinaion and unchanged , most consistent with mild congestive heart failure .