Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Given differences in positioning and technique , there has been no significant interval change . Findings again suggestive of pulmonary vascular congestion . Severe cardiomegaly is grossly unchanged . Hypertrophic changes are seen in the spine .
    OUTPUT:
    
Pulmonary vascular congestion . No definite focal consolidation .