Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted is mild pulmonary vascular congestion , similar to that seen previously . Mild interstitial abnormality is also again noted . Moderate cardiomegaly remains stable . The lungs are without any new focal opacity . No acute fractures are identified . Spinal changes consistent with renal osteodystrophy are again noted .
    OUTPUT:
    
Mild vascular congestion with mild cardiomegaly again noted .