Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly , central pulmonary vascular congestion , cephalization , and mild interstitial pulmonary edema is noted . There is no large pleural effusion , pneumothorax , or lobar consolidation . The thoracic aorta is ectatic . No displaced rib fracture is identified .
    OUTPUT:
    
Moderate cardiomegaly and mild vascular congestion / edema . No appreciable pleural effusion .