Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Enlargement of the cardiac silhouette compared to previous chest radiographs is seen , and the pulmonary vasculature is increased . Bilateral pulmonary markings consistent with interstitial edema are also seen . No focal consolidation or pleural effusions are seen .
    OUTPUT:
    
Increase in heart size and pulmonary vasculature consistent with congestive heart failure .