Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The trachea is central . The cardiomediastinal contour is unchanged compared to the prior study with moderate to severe cardiac enlargement . There is prominence of the pulmonary vasculature at the hila and extending into the bilateral upper lobes consistent with pulmonary vascular congestion . No frank pulmonary edema seen . Linear atelectasis in the left mid lung . No consolidation seen . No pneumothorax . No pleural effusion . Mild multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
Cardiomegaly and pulmonary vascular congestion without frank pulmonary edema .