Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly is again present . Calcifications of the aortic knob are seen . There is mild vascular engorgement , overall improved from ___ . There are no pleural effusions . No pneumothorax and no evidence of pneumonia .
    OUTPUT:
    
Cardiomegaly with vascular congestion . No evidence of pneumonia .