Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal view of the chest was obtained portably . The lungs are well expanded without focal consolidation , pleural effusion or pneumothorax . Prominent pulmonary vasculature is similar to ___ , suggesting pulmonary vascular congestion without overt pulmonary edema . The heart is mildly enlarged , unchanged . Mediastinal silhouette is stable . There is severe degenerative change in the shoulder girdles bilaterally .
    OUTPUT:
    
Mild pulmonary vascular congestion without overt pulmonary edema .