Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs of ___ , there is stable cardiomegaly , however the cardiac silhouette has enlarged since ___ . Vascular congestion has improved since prior . There is no focal consolidation . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Moderate to severe cardiomyopathy and / or pericardial effusion , stable since prior radiographs on ___ , however worsened since ___ . Improvement in biventricular function with decreased vascular congestion compared with prior radiograph ___ .