Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is minimal central pulmonary vasculature engorgement . No focal consolidation is seen . There is no large pleural effusion . No evidence of pneumothorax is seen . The aorta is calcified and tortuous . The cardiac silhouette is not enlarged . There is apparent narrowing of the distal trachea just above the level of the carina for which further evaluation with chest CT is recommended .
    OUTPUT:
    
Apparent narrowing of the distal trachea above the level of the carina for which further evaluation with chest CT is recommended . Mild central pulmonary vascular engorgement .