Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are somewhat low . The heart is top - normal in size with mild pulmonary vascular congestion . There is no focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
Mild pulmonary vascular congestion with top - normal heart size . No pneumothorax . Consider repeat chest radiograph with improved inspiratory level and standard PA and lateral technique to allow more optimal assessment of the cardiovascular structures . If findings persist , consider echocardiogram for further evaluation .