Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the right . Again , there are relatively low lung volumes . The cardiac and mediastinal silhouettes are stable with mild - to - moderate enlargement of the cardiac silhouette . Bilateral central pulmonary vascular engorgement with mild pulmonary vascular congestion is again seen with vascular congestion improved as compared to the prior study . No focal consolidation is seen . A trace right pleural effusion is difficult to exclude . No pneumothorax is seen . There is gaseous distention of the stomach . Old left - sided rib fracture again seen .
    OUTPUT:
    
Central pulmonary vascular engorgement with interval improvement in pulmonary vascular congestion .