Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Once again , the heart is enlarged . There is prominence of the bilateral hila and pulmonary vasculature with prominent interstitial markings . Overall , the appearances are consistent with pulmonary vascular congestion . ___ B - lines noted at the right lung base . Small nodular opacities , most prominent in the right upper lobe may represent early pulmonary edema . No definite areas of consolidation seen . Degenerative changes throughout the thoracic spine .
    OUTPUT:
    
Findings consistent with pulmonary vascular congestion and possibly early pulmonary edema . No definite focal pneumonia .