Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes again noted . There is prominence of the pulmonary vascular markings likely due to in part low lung volumes and overlying subcutaneous tissues noting that pulmonary vascular congestion is also suspected . There is no large pleural effusion . Cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
Probable pulmonary vascular congestion without obvious consolidation based on this limited portable exam .