Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is significantly enlarged compared to prior AP view . There are increased bilateral pulmonary vasculatures and interstitial markings . There is bilateral pleural effusion . No consolidation . No pneumothorax . The T4 sclerotic lesion and loss of the T7 vertebral height are again appreciated , both present on previous CT . The sternotomy wires are unchanged . The tracheostomy tube has been removed .
    OUTPUT:
    
1 . Findings are consistent with fluid overload . 2 . Unchanged T4 sclerotic lesion and loss of the T7 vertebral height previously seen on CT .