Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . Lungs well expanded . There is mild vascular congestion . There is no pleural effusion or pneumothorax . There is moderate cardiomegaly .
    OUTPUT:
    
Moderate cardiomegaly and mild vascular congestion , which could represent acute cardiac decompensation . These findings were communicated to Dr . ___ at 8 :39 a .m . on ___ by phone .