Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation or effusion . Indistinct pulmonary vascular markings are seen throughout the lungs . Moderate cardiomegaly is identified . Atherosclerotic calcifications noted at the aortic arch . S - shaped thoracic scoliosis is noted .
    OUTPUT:
    
Cardiomegaly with pulmonary vascular congestion .