Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is limited secondary to portable technique and patient body habitus . Within this limitation , there is apparent increased degree of pulmonary vascular markings . There is no large confluent consolidation . Blunting of the costophrenic angles could be due to overlying soft tissues although effusions can not be excluded . Cardiomediastinal silhouette is stable . Bilateral shoulder arthroplasties are identified .
    OUTPUT:
    
Limited exam with suspected pulmonary vascular congestion .