Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Diffuse increased interstitial markings are again seen suggesting vascular congestion . There is no confluent consolidation , effusion or pneumothorax . Cardiomediastinal silhouette is stable . Median sternotomy wires are again noted . No acute osseous abnormalities .
    OUTPUT:
    
Pulmonary vascular congestion .