Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mild to moderately enlarged . The heart is moderately tortuous with calcifications visualized along the arch . Allowing for differences in technique , the cardiac , mediastinal and hilar contours appear unchanged . The pulmonary vascularity is indistinct with upper zone redistribution and there is very slight interstitial prominence , the appearance suggesting mild vascular congestion or fluid overload . There is no pleural effusion or pneumothorax . Moderate degenerative changes involve the right glenohumeral joint . Small osteophytes are noted along the lower thoracic spine . Although views of bony detail are limited , there is no definite evidence for fracture .
    OUTPUT:
    
Findings suggesting mild vascular congestion or fluid overload , without definite evidence for injury .