Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild prominence of the cardiac silhouette may be projectional in nature when compared to prior radiograph . Otherwise , the cardiomediastinal silhouettes are unremarkable . The bilateral hila are within normal limits . The lungs are clear without focal consolidation . Again seen is a left upper lung calcified granuloma . There is pulmonary vascular congestion suggestive of early cardiac decompensation . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Pulmonary vascular congestion early cardiac decompensation .