Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new vascular congestion , without frank pulmonary edema . Mild cardiomegaly is unchanged . Median sternotomy clips are in appropriate position . Aorta is tortuous and calcified . Mild acromioclavicular arthropathy . Mild degenerative changes in the thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion and cardiomegaly .