Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . Lower lung volumes seen on the current exam . Indistinctness of the pulmonary vasculature is again seen . There is no effusion . Cardiomediastinal silhouette is unchanged given differences in positioning and lower inspiratory effort .
    OUTPUT:
    
Pulmonary vascular congestion without frank edema , not likely changed given lower inspiratory effort on the current exam .