Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Degree of cardiomegaly is similar . Atherosclerotic calcifications are again noted at the aortic arch . Engorged central pulmonary vessels are again seen without evidence of overt pulmonary edema . Retrocardiac region is likely obscured due to overlying soft tissues .
    OUTPUT:
    
Cardiomegaly with pulmonary vascular congestion without overt pulmonary edema .