Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette is re - demonstrated . There is mild pulmonary vascular congestion , not changed in the interval , likely chronic . No overt pulmonary edema is present . Minimal atelectasis seen in the lung bases without focal consolidation . No pleural effusion or pneumothorax is present . Moderate multilevel degenerative changes are seen throughout the thoracic spine .
    OUTPUT:
    
Moderate cardiomegaly with mild chronic pulmonary vascular congestion and mild atelectasis in the lung bases . No focal consolidation .