Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs remain hyperinflated . There is prominence of central pulmonary vasculature suggesting mild to moderate pulmonary vascular congestion . There may be a trace left pleural effusion but no large pleural effusion is seen . Previously seen bilateral upper lung opacities has decreased in the interval on have essentially resolved . The cardiac and mediastinal silhouette are stable . No pneumothorax is seen . The study has low sensitivity in detecting a rib fracture . If high clinical concern , consider dedicated rib series or CT . The bones are diffusely osteopenic .
    OUTPUT:
    
This study has low sensitivity for detecting rib fracture . If high clinical concern , consider dedicated rib series or CT . Bones are diffusely osteopenic . Significant interval decrease in previously seen bilateral upper lung opacities , essentially resolved . COPD . Pulmonary vascular congestion .