Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As before , there is moderately severe cardiomegaly and central pulmonary vascular enlargement , consistent with pulmonary vascular congestion . Minimal thickening of the fissures is noted and is unchanged from before . There is no frank pulmonary edema . There appears to be a trace right pleural effusion versus chronic pleural thickening . No pneumonia . Mediastinal contour is normal . No suspicious bone findings .
    OUTPUT:
    
Cardiomegaly and pulmonary vascular congestion without frank pulmonary edema . No pneumonia .