Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged and probably increased somewhat since prior examination . Pulmonary vessels are indistinct and the central interstitium is mildly prominent in the mid to lower lungs . The overall impression is of probable mild vascular congestion . There is no pleural effusion or pneumothorax . A healed fracture of the left sixth rib is again present .
    OUTPUT:
    
Cardiomegaly and suspected mild pulmonary vascular congestion .