Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The heart is moderately enlarged . Pulmonary vasculature is engorged with questionable enlargement of the pulmonary artery . Both hila are substantially enlarged and lobular .
    OUTPUT:
    
Moderate cardiomegaly with engorged pulmonary vasculature . Bilateral hilar fullness concerning for both dilated pulmonary arteries and hilar adenopathy . Recommend chest CT for further evaluation of mediastinal and hilar prominence .