Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Low lung volumes result in bronchovascular crowding . There is no focal consolidation , pleural effusion or pneumothorax . A right paramediastinal opacity is noted . Heart size is upper limits of normal . Pulmonary vasculature is engorged without overt pulmonary edema . There is no free air under the diaphragm . No acute osseous abnormality is seen . Multilevel loss of vertebral height is seen in the thoracic spine .
    OUTPUT:
    
1 . Pulmonary vascular congestion without overt pulmonary edema . 2 . Right upper paramediastinal opacity could be due to tortuous vessels , but CT is recommended for further evaluation . Findings and recommendations emailed to the ED QA nurses at 9 : 38 pm ___ after attending review .