Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Monitoring and support devices have been removed . Cardiac silhouette is increased in size . There is increased pulmonary vascular congestion and bilateral small to moderate pleural effusions . There is increased volume loss at bilateral lung bases , left more so than right . There is no appreciable pneumothorax .
    OUTPUT:
    
No appreciable pneumothorax . Increased pulmonary vascular congestion , lung volume loss , and pleural effusions compared to 12 hr prior .