Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette appears slightly decreased compared to the prior study and is within normal limits in size . Interval improvement in pulmonary vascular congestion . No new focal areas of consolidation , or evidence of pleural effusion or pneumothorax . Assessment of retrosternal area on lateral view is limited by suboptimal positioning of the patient 's arms related to the patient 's inability to lift the arm in the setting of recent fracture . Vascular catheter is unchanged in position .
    OUTPUT:
    
No radiographic evidence of acute cardiopulmonary process .