Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph demonstrates mildly increased pulmonary vascular dilatation and small right pleural effusion with associated atelectasis . The vascular pedicle is also enlarged . However , no interstitial edema is seen . Left lower lobe consolidation is not well appreciated on today 's exam . Median sternotomy wires and CABG clips are again noted .
    OUTPUT:
    
New pulmonary vascular engorgement , consistent with cardiac compensation . Preliminary findings were relayed by Dr . ___ to Dr .___ by phone at 8 : 55 a .m . on ___ .