Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no lobar consolidation , pleural effusion , or pneumothorax identified . Mild prominence of the central pulmonary vasculature and edema is noted . Mild cardiomegaly is unchanged . Cervical fusion hardware is again noted , incompletely imaged but unchanged appearance .
    OUTPUT:
    
Persistent mild cardiomegaly with central pulmonary vascular congestion mild pulmonary edema .