Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is stably enlarged . The mediastinal and hilar contours are normal . There is mild fullness of the hilum with increased reticular opacities , likely due to increased pulmonary pressure . No large effusions are seen . There is no pneumothorax . A calcified nodule projects over the left lung apex , unchanged from prior exams . There are no acute osseous abnormalities . Sternotomy wires and mediastinal clips are again noted . Vascular calcifications are seen .
    OUTPUT:
    
Mild pulmonary edema . No large pleural effusions .