Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . There is mild pulmonary vascular congestion . The heart remains enlarged , similar to the prior exam . The imaged upper abdomen is unremarkable . The bones are intact .
    OUTPUT:
    
Mild pulmonary vascular congestion and cardiomegaly , similar to the prior study .