Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is unchanged . The aorta remains tortuous . Mild pulmonary vascular congestion is present without overt pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild pulmonary vascular congestion without frank pulmonary edema . No focal consolidation to suggest pneumonia .