Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart appears mildly enlarged . There is some fullness to the right hilum on the AP view , although not necessarily abnormal . However , there is soft tissue fullness on the lateral view projecting over the anterior hilar region . Fissures appear thickened . There is also some separation between the aortic arch and the trachea by about 1 cm . Indistinct vasculature suggests pulmonary venous hypertension . There is no pleural effusion or pneumothorax . Moderate anterior osteophytes are present along the lower thoracic spine .
    OUTPUT:
    
1 . Cardiomegaly and findings suggesting mild fluid overload . 2 . Abnormal hilar contour on the lateral view . When clinically feasible , this appearance could be reassessed with standard PA and lateral views in short - term followup or alternatively chest CT could be considered , preferably with intravenous contrast if feasible .