Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is again moderate - to - severely enlarged . There is mild widening of the vascular pedicle , suggesting fluid overload , somewhat increased . There is mildly prominent pulmonary vascularity suggesting mild congestion . Otherwise , the lungs appear clear . There are no definite pleural effusions or pneumothorax . The lateral view , in particular , is limited by soft tissue attenuation but there are similar small osteophytes and minimal wedging among several lower thoracic vertebral bodies .
    OUTPUT:
    
Findings suggesting mild vascular congestion .