Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette is stable since the prior examination , with at least moderate cardiomegaly . There is central pulmonary vascular congestion , likely slightly more prominent than on prior examination . The thoracic aorta is tortuous . There is no focal consolidation . There is no definite pleural effusion or pneumothorax . Anterior cervical fusion hardware is again demonstrated .
    OUTPUT:
    
Central pulmonary vascular prominence without overt edema . Stable cardiomegaly .