Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with significant pulmonary vascular congestion , increased interstitial markings , and moderate cardiomegaly . The aortic knob is calcified , as before . There is no focal parenchymal consolidation to indicate pneumonia . Osseous structures demonstrate significant osteopenia . No pleural effusion or pneumothorax .
    OUTPUT:
    
Marked cardiomegaly with moderate pulmonary vascular congestion and interstitial edema , however no pleural effusion . No strong evidence of pneumonia .