Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is upper limits of normal in size . ICD is in place as well as defibrillator patches , unchanged in appearance . Mild pulmonary vascular congestion is present without evidence of pulmonary edema . No confluent areas of consolidation are evident , and there are no pleural effusions or concerning new skeletal findings .
    OUTPUT:
    
Mild pulmonary vascular congestion . No evidence of pneumonia .