Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . Note is made of mild pulmonary vascular congestion , without frank edema . The previously described right upper lobe consolidation has resolved . The heart remains enlarged . The aorta is tortuous . There is no pneumothorax , pleural effusion , or consolidation . Again seen are severe degenerative changes in the bilateral shoulders , right greater than left .
    OUTPUT:
    
1 . Mild pulmonary vascular congestion . 2 . No pneumonia .