Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . There is moderate cardiomegaly with pulmonary vascular congestion . There is no pleural effusion or pneumothorax . Visualized upper abdomen is unremarkable . Osseous structures are grossly intact .
    OUTPUT:
    
Moderate cardiomegaly with pulmonary vascular congestion .