Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips again noted as well as partially imaged lumbar spinal hardware . The heart remains moderately enlarged . The lungs appear clear though there is mild cephalization which may reflect increased pulmonary venous pressures . No large effusion or pneumothorax is seen . Cardiomegaly is stable . Tortuous thoracic aorta is noted with scoliotic lower T - spine .
    OUTPUT:
    
Cardiomegaly with mild pulmonary venous congestion .