Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . Moderate to severe cardiomegaly is associated moderate central vascular congestion . Straightening of the left heart border could reflect the presence of prominence of the main pulmonary artery . There is hyperinflation with flattened diaphragms , suggesting COPD .
    OUTPUT:
    
Moderate to severe cardiomegaly with moderate central pulmonary vascular congestion . No frank pulmonary edema . No consolidation .