Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior there has been no significant interval change . There is no large confluent consolidation within the confines of a portable film with lordotic positioning . Possible pulmonary vascular congestion is unchanged . Cardiomediastinal silhouette is stable . Chronic deformity of the left humeral head is again noted .
    OUTPUT:
    
No significant interval change . Possible pulmonary vascular congestion without large confluent consolidation .