Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . There is secondary crowding of the bronchovascular markings . There is also engorgement of the central pulmonary vasculature when compared to prior . There is no focal consolidation or large effusion . Cardiac silhouette is stable . No acute osseous abnormalities .
    OUTPUT:
    
Pulmonary vascular congestion without focal consolidation .