Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . There is perihilar fullness with streaky perihilar opacities suggesting mild - to - moderate pulmonary vascular congestion . In that setting , patchy right apical opacity may likewise represent a form of pulmonary vascular congestion ; however , it is a somewhat unusual pattern . There is no pleural effusion or pneumothorax . Bony structures are unremarkable .
    OUTPUT:
    
Findings suggesting mild pulmonary vascular congestion . Patchy new right upper lung opacities which may be due to an asymmetric form of edema , perhaps superimposed on small bulla , but not well characterized . Short - term followup repeat radiographs are recommended following treatment in order to reassess .