Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged , and there is mild vascular congestion . There is no focal consolidation or pneumothorax . Increased AP diameter of the chest may reflect COPD . Surgical clips and a metallic density project over the left upper abdomen .
    OUTPUT:
    
Cardiomegaly with mild pulmonary vascular congestion .