Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is limited due to patient body habitus . No focal consolidation , pleural effusion , or pneumothorax is detected . Pleural thickening is again noted . Heart size is mildly enlarged and pulmonary vasculature is prominent . Aortic calcification is again noted .
    OUTPUT:
    
Chronic borderline congestive heart failure .