Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . Moderate cardiomegaly persists . Mediastinal and hilar contours are unchanged with mild atherosclerotic calcification noted at the aortic arch . Mild pulmonary vascular congestion appears chronic . There is no pleural effusion , focal consolidation or pneumothorax is seen . Mild multilevel degenerative changes are noted in the thoracic spine . Right humeral head prosthesis is re - demonstrated .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Moderate cardiomegaly with chronic mild pulmonary vascular congestion .