Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is re- demonstrated . The aortic knob is diffusely calcified . The mediastinal and hilar contours are unchanged . There is mild pulmonary vascular congestion , improved from the prior exam , without overt pulmonary edema . Lungs are hyperinflated without focal consolidation . No pleural effusion or pneumothorax is present . There are no acute osseous abnormalities . Remote left - sided rib fractures are re - demonstrated .
    OUTPUT:
    
Moderate cardiomegaly with minimal pulmonary vascular congestion .