Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is moderate to severely enlarged . The aorta is calcified and tortuous . Prominence of the hila and central pulmonary vasculature suggests pulmonary vascular engorgement with mild pulmonary vascular congestion . No definite focal consolidation is seen . No pleural effusion or pneumothorax .
    OUTPUT:
    
Moderate to severe enlargement of the cardiac silhouette with central pulmonary vascular engorgement and mild pulmonary vascular congestion . No pleural effusion seen .