Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pulmonary vasculature prominence has slightly increased . A left apical granuloma is unchanged . No effusions or consolidations are identified . No pneumothorax is present . Moderate cardiomegaly is unchanged . The aorta is tortuous with aortic arch calcifications . Midline sternotomy wires are intact . Mild anterior loss of height of a mid thoracic vertebral body is unchanged .
    OUTPUT:
    
Cardiomegaly with mild pulmonary vascular congestion .