Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right hemodialysis catheter terminates in the right atrium . Median sternotomy wires appear intact . Multiple clips project along the anterior left mediastinum . Moderate cardiomegaly is unchanged . There are equivocal trace bilateral pleural effusions blunting the costophrenic sulci posteriorly . There is no pneumothorax . Lung volumes are slightly low . There is pulmonary vascular congestion without overt edema . There is no convincing evidence of pneumonia . Evaluation of the osseous structures is limited on this study , however no displaced rib fractures detected .
    OUTPUT:
    
1 . Pulmonary vascular congestion without overt edema . Equivocal trace pleural effusions . 2 . Limited evaluation of the osseous structures , however no displaced rib fracture is detected . If further evaluation is desired a dedicated rib series or CT may be obtained .