Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is mild pulmonary vascular congestion . No large pleural effusion is seen . There is no pneumothorax . The cardiac silhouette is moderate to markedly enlarged . The aorta is tortuous .
    OUTPUT:
    
Pulmonary vascular congestion and enlarged cardiac silhouette .