Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged . Mediastinal and hilar contours are also unchanged , with prominence of the hila suggesting pulmonary arterial enlargement , as demonstrated on the prior CT . Mild pulmonary vascular congestion is noted . The lungs are hyperinflated compatible with underlying COPD . No pleural effusion or pneumothorax is identified . Numerous old left - sided rib fractures are demonstrated . Multiple clips are seen within the left upper quadrant of the abdomen .
    OUTPUT:
    
Mild pulmonary vascular congestion .