Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged with the left ventricular predominance . The aorta is tortuous and demonstrates mild atherosclerotic calcifications . Hilar contours are within normal limits . There is minimal upper zone vascular redistribution suggestive of mild pulmonary vascular congestion . No overt pulmonary edema , focal consolidation , pleural effusion or pneumothorax is present . Minimal atelectasis is noted in the lung bases . Moderate multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
Moderate cardiomegaly with mild pulmonary vascular congestion , but no overt pulmonary edema .