Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , resulting in bronchovascular crowding . Cardiac silhouette is top - normal in size . There is pulmonary vascular congestion , without frank edema . No pleural effusion , pneumothorax , or consolidation . Spinal fusion hardware is seen in the lower cervical spine .
    OUTPUT:
    
Pulmonary vascular congestion , without frank pulmonary edema .