Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is evidence of the moderate cardiomegaly , slightly worsened compared to the exam from ___ however stable compared to the most recent exam . The previously noted vascular congestion in the upper lungs has improved ; however , there appears to be an interval increase in the left perihilar opacification compared to the prior exam , suggestive of worsening aspiration . There are stable small bilateral pleural effusions . There is no evidence of pneumothorax . Heterogeneous opacification of the lung apices is likely secondary to scarring .
    OUTPUT:
    
Interval worsening of the left perihilar opacification consistent with recent aspiration . These findings were discussed with Dr . ___ at 10 :30 p .m . by Dr . ___ ___ by telephone on the day of the exam .