Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is enlarged , more than just the exaggerated effect of AP positioning . The pulmonary vasculature appears prominent with cephalic redistribution . There are no consolidations . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
Mild cardiomegaly with vascular congestion , compatible with early heart failure , but no evidence of pneumonia .