Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly and pulmonary vascular congestion , unchanged . The lungs are clear without focal consolidation or edema . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
Moderate cardiomegaly and pulmonary vascular congestion without edema .