Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs demonstrate severe cardiomegaly . However , there is no focal consolidation , pulmonary vascular congestion ( unlike prior radiograph ) , or pneumothorax . The cardiac , hilar and mediastinal contours are normal . Small pleural effusions noted .
    OUTPUT:
    
Severe cardiomegaly . Trace pleural effusions . However , no overt signs of pulmonary edema . This is improved when compared to OSH radiograph .