Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly . The azygos vein is slightly prominent . The mediastinal and hilar contours are within normal limits . There is no pleural effusion or pneumothorax . The lungs are well - expanded without focal consolidation concerning for pneumonia . Cephalization of vessels is consistent with mild vascular congestion . Surgical clips are seen projecting near the left hemidiaphragm in the left upper quadrant . The visualized osseous structures are within normal limits .
    OUTPUT:
    
Mild vascular congestion with moderate cardiomegaly . No pneumonia .