Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly which appears to have progressed but this is likely in part due projection and lower lung volumes . Atherosclerotic calcifications are seen in the aorta which is tortuous . Enlarged hila are compatible with enlarged pulmonary arteries in the setting of pulmonary hypertension . Indistinct pulmonary vascular markings are seen but there is no confluent consolidation or effusion .
    OUTPUT:
    
Cardiomegaly with signs suggesting pulmonary hypertension and vascular congestion .