Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is in stable position . There is no confluent consolidation or large effusion . There is pulmonary vascular congestion without overt edema . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
Pulmonary vascular congestion without focal consolidation .