Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear unchanged including moderate cardiomegaly . There is widening of the vascular pedicle , suggesting fluid overload , but again similar to the prior study . There is probably a trace pleural effusion on the right . The chest is hyperinflated . Prominent interstitium with indistinct appearance of the pulmonary vasculature suggests mild vascular congestion . Mild degenerative changes are similar along the mid to lower thoracic spine .
    OUTPUT:
    
Findings suggesting mild vascular congestion and probably a trace pleural effusion .