Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mild to moderately enlarged . There is mild pulmonary vascular congestion . No focal consolidation is seen . There is no large pleural effusion or pneumothorax . No definite rib fracture identified .
    OUTPUT:
    
Cardiomegaly and mild vascular congestion . No definite displaced rib fracture identified however , if clinical concern persists , consider CT , which is more sensitive .