Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . There is no focal consolidation . No pleural effusion or pneumothorax . There is moderate central vascular congestion , interstitial edema , and a small amount of fluid in the fissures bilaterally . Heart size is moderately enlarged but likely accentuated by lower lung volumes . Mitral annular calcifications are seen . . Osseous structures are intact .
    OUTPUT:
    
Moderate pulmonary vascular congestion and interstitial edema . Moderate cardiomegaly .