Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild cephalization of the pulmonary vasculature which is suggestive of increased pulmonary venous pressures . The lungs are clear . Rightward deviation of the trachea in the superior mediastinum is unchanged and due to the patient 's known history of thyromegaly . There is no pleural effusion or pneumothorax . The heart is not enlarged . A hemodialysis catheter terminates at the cavoatrial junction . Again noted are multiple old left rib fractures as well as degenerative changes of the bilateral glenohumeral joints .
    OUTPUT:
    
Mild cephalization which could reflect mild pulmonary venous congestion .