Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable cardiomegaly . There is worsening pulmonary vascular congestion and mild pulmonary edema . Pleural effusions are stable . No pneumothorax is seen . Right hilar fullness is a manifestation of mild heart failure . Again seen is chronic posterior pleural thickening and nodulation at the right base . Again seen is thoracic fusion hardware , unchanged .
    OUTPUT:
    
1 . Worsening pulmonary vascular congestion and edema . Mild chronic cardiomegaly . 2 . Chronic small pleural effusions , posterior pleural loculation . 3 . Recommend baseline chest CT to further evaluate chronic pleural thickening and nodulation at the right base .