Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are low , resulting in vascular crowding . No focal consolidation concerning for pneumonia is identified . There is no significant pleural effusion or pneumothorax . Mild vascular congestion is unchanged from the most recent prior study . The cardiac silhouette is top normal in size . The mediastinal and hilar contours are unchanged with mild tortuosity of the aorta . Surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy .
    OUTPUT:
    
Vascular congestion . No focal consolidation concerning for pneumonia .