Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The image was done semi erect . Lung volumes are somewhat low . This may account for increased density and increased prominence of the pulmonary interstitium . There is no focal consolidation . There is no pneumothorax . Upper lobe veins are slightly which may be due to patient positioning . The heart and mediastinal structures are unchanged . There are no concerning bone findings . A cardiac monitoring device is again demonstrated .
    OUTPUT:
    
Evidence for pulmonary vascular congestion . Follow - up examination in the upright position with a better inspiratory effort is recommended .