Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged and the lung vasculature mildly engorged . Rightward rotation exaggerates the contour of the ascending thoracic aorta which is nevertheless very tortuous or conceivably dilated . There is no pneumothorax , focal consolidation , or pleural effusion .
    OUTPUT:
    
1 . Possible early cardiac decompensation ; no edema or pneumonia . 2 . Tortuous or , less likely , dilated ascending thoracic aorta