Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , moderate pulmonary congestion and mild interstitial edema is increased , moderate right pleural effusion is new , and moderate left basilar opacities are seen , likely representing atelectasis . Moderate cardiomegaly is increased . No pneumothorax . Large goiter displacing the trachea to the right and moderately narrowing at at the thoracic inlet is chronic .
    OUTPUT:
    
1 . Moderate pulmonary congestion and mild interstitial edema is increased , moderate right pleural effusion is new , and moderate left basilar atelectasis is increased since ___ , consistent with acute CHF exacerbation . Large goiter , unchanged .