Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly with left ventricular predominance is noted . The aorta appears tortuous , diffusely calcified , and dilated at the level of the aortic arch with mass effect upon the adjacent trachea . There is mild pulmonary vascular engorgement . No focal consolidation , pleural effusion or pneumothorax is present . Scarring is seen within the lung apices . No acute osseous abnormality is detected . .
    OUTPUT:
    
Moderate cardiomegaly with mild pulmonary vascular congestion . Dilated and ectatic thoracic aorta which can be better assessed with contrast - enhanced CT if not done previously .