Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration . The aorta is mildly tortuous and calcified . The cardiac , mediastinal and hilar contours appear stable . Streaky scarring in the lingula is unchanged . Fissures are slightly thickened , which is somewhat increased suggesting mild vascular congestion . There is a new trace pleural effusion on the left . Slight pleural thickening of the right is probably unchanged . Increased interstitial opacity in the right lower lung , although regional , may represent vascular congestion . There is no pneumothorax . No definite fracture is seen .
    OUTPUT:
    
Findings suggest mild vascular congestion . No definite rib fracture identified . Dedicated rib series would be more sensitive to detect rib fracture if needed clinically .