Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . The heart is mildly enlarged and there is hilar engorgement compatible with pulmonary vascular congestion . There is no frank pulmonary edema , effusion or pneumothorax . No convincing signs of pneumonia . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly with pulmonary vascular congestion .