Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal , slightly increased in size since ___ . Direct comparison to the ___ study is difficult due to decreased inspiratory effort from that examination . The central pulmonary vessels are engorged , and there is trace interstitial edema . There is no pneumothorax or pleural effusion . No focal consolidation is seen .
    OUTPUT:
    
Interval slight cardiac enlargement , with mild central vascular congestion and trace interstitial edema .