Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs on ___ , there is no definite pleural effusion seen on the single frontal view , however may be present on the lateral view . There is vascular congestion , no pulmonary edema . There is no focal consolidation to suggest pneumonia . Cardiomediastinal silhouette is unchanged . There are diffuse osteolytic changes in the bones , consistent with history of multiple myeloma .
    OUTPUT:
    
No definite pleural effusion is seen on the single frontal view , however may be present on a lateral view if able to obtain . Vascular congestion , with no overt pulmonary edema .