Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Indistinct pulmonary vascular markings are again seen . There is no confluent consolidation or effusion . Moderate cardiac enlargement is again seen . Atherosclerotic calcifications identified at the aortic arch . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly with mild pulmonary edema without focal consolidation or effusion .