Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 semi-upright , portable radiographs of the chest demonstrate relatively low lung volumes . The heart is moderatey enlarged and the aorta is tortuous . The pulmonary and systemic vasculature is congested . There is no pleural effusion , pulmonary edema , pneumothorax or focal consolidation concerning for pneumonia .
    OUTPUT:
    
Pulmonary and systemic vascular congestion with moderate cardiomegaly . Otherwise , no acute cardiopulmonary process .