Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate enlargement of the cardiac silhouette . Mediastinal contours are unremarkable . There is central pulmonary vascular engorgement . No definite focal consolidation is seen to suggest pneumonia . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
Cardiomegaly with central pulmonary vascular engorgement .