Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart remains moderately to severely enlarged . The mediastinal and hilar contours are stable . There is mild pulmonary vascular congestion without overt pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is visualized . No acute osseous abnormalities are seen .
    OUTPUT:
    
Mild pulmonary vascular congestion .