Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is mild to moderately enlarged . The aorta is calcified . There is central pulmonary vascular engorgement without overt pulmonary edema . Slight blunting of the posterior left costophrenic angle likely relates to to atelectasis , less likely trace pleural effusion . No definite focal consolidation to suggest pneumonia .
    OUTPUT:
    
Moderate cardiomegaly with central pulmonary vascular engorgement .