Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is mild pulmonary vascular congestion , but no overt pulmonary edema . This is similar in appearance to the radiograph from ___ . Heart size is enlarged and unchanged from that time . No pneumothorax , pleural effusion , or focal consolidation .
    OUTPUT:
    
Vascular congestion , with similar radiographic appearance to the study from ___ . No focal consolidation .