Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are remain somewhat hyperinflated . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is mildly enlarged . Mitral annulus calcification is again seen . The aorta is calcified and tortuous . While there may be mild central pulmonary vascular engorgement , there is no overt pulmonary edema .
    OUTPUT:
    
No large pleural effusion . Mild cardiomegaly with mild central pulmonary vascular engorgement without overt pulmonary edema .