Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild pulmonary vascular congestion and borderline pulmonary edema . No pleural effusion or pneumothorax is seen . Heart size is moderate to severely enlarged , unchanged compared to prior study from ___ . Patient is post aortic valve replacement and mitral valve clipping . Median sternotomy wires are intact .
    OUTPUT:
    
Mild pulmonary vascular congestion , borderline pulmonary edema , and moderate - to - severe cardiomegaly .