what is mild cardiomegaly vascular congestion? I m a 42 year old female that weighs 356 lbs. I want to know if their any symptoms to mild cardiomegaly vascular congestion? I m tired all the time. I don t want to leave the house, everything I do seems to take all my strength. I must take a nap, usually after doing some form of activity, basic walking in Walmart. I m so tired, I just fall asleep. I notice swelling in left leg, I think fluid. Any suggestions.