Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Tracheostomy tube projects over the superior mediastinum . The previously noted PICC line is been removed . The heart is mildly enlarged . There is pulmonary vascular congestion without frank pulmonary edema . No large effusion or pneumothorax is seen . Prominence of the mediastinal silhouette likely reflect portable AP technique . Bony structures are intact .
    OUTPUT:
    
Pulmonary vascular congestion .