Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is re - demonstrated . The aorta is diffusely calcified . The mediastinal and hilar contours are similar with unchanged enlargement of the pulmonary arteries bilaterally . Mild pulmonary vascular congestion is present with cephalization of pulmonary vasculature , slightly worse in the interval . Lungs remain hyperinflated . Streaky atelectasis is noted in the retrocardiac region . No focal consolidation . Mild thickening of the minor fissure is unchanged . A small left pleural effusion is likely present . No pneumothorax is detected . Multiple spiral tacks are seen in the left upper quadrant compatible with prior hernia repair .
    OUTPUT:
    
Mild pulmonary edema and possible trace left pleural effusion .