Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No pleural effusion is seen . There is no pneumothorax . The cardiac silhouette is mild to moderately enlarged , similar to prior given differences in technique . There is pulmonary vascular congestion . No definite focal consolidation is seen .
    OUTPUT:
    
Pulmonary vascular congestion and persistent cardiomegaly .