Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Vascular congestion has increased slowly since ___ but there is no pulmonary edema . Cardiac contour is enlarged in this patient with heavily calcified mitral annulus . There is no pleural effusion . The lungs are unremarkable except for tiny benign calcified granuloma in left upper lobe .
    OUTPUT:
    
1 . Slowly progressive vascular congestion without pulmonary edema . 2 . Moderate cardiomegaly has worsened . 3 . The lungs are unremarkable .