Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs suggest obstructive disease . Coarseness of lung markings could reflect either chronic lung disease , vascular congestion or both . There is no focal consolidation , effusion or pneumothorax . Mediastinal and hilar contours are stable . Moderate cardiomegaly is unchanged . Note is made of calcification of the mitral valve annulus .
    OUTPUT:
    
1 . Mild pulmonary vascular congestion without overt pulmonary edema . 2 . Hyperinflated lungs are consistent with obstructive disease . 3 . Stable moderate cardiomegaly .