Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal chest radiograph again demonstrates moderate cardiomegaly , slightly emphasized by mildly low lung volumes and similar in appearance dating back to ___ . There is mild vascular congestion and pulmonary edema . Bilateral pleural effusions are small . There is no definite focal consolidation , and no pneumothorax . The visualized upper abdomen is unremarkable . There is a healing fracture of the distal right clavicle .
    OUTPUT:
    
Unchanged moderate cardiomegaly . Mild vascular congestion and pulmonary edema .