Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . The cardiac and mediastinal contours are normal . Pulmonary vasculature is newly engorged , but there is no edema or pleural effusion . Note is made of an old healed right posterior rib fracture . Prominent nipple shadows should not be mistaken for lung nodules .
    OUTPUT:
    
Elevated pulmonary venous pressure . No edema .