Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is present . The aorta is calcified and tortuous . There is mild pulmonary vascular congestion . Enlargement of the pulmonary arteries bilaterally is unchanged , likely reflecting pulmonary arterial hypertension . No pleural effusion or pneumothorax is seen . The lungs are hyperinflated with flattening of the diaphragms , suggestive of underlying COPD . Multiple soft tissue anchors are demonstrated within the left humeral head . Degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
1 . Mild pulmonary vascular congestion . 2 . Chronic enlargement of the pulmonary arteries bilaterally suggestive of pulmonary arterial hypertension .