Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette appears increased in size compared to the previous exam . The mediastinal contours are unchanged . There is mild pulmonary vascular congestion . No focal consolidation , pleural effusion or pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate cardiomegaly , increased in size compared to the previous exam from ___ , with mild pulmonary vascular congestion .