Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Normal cardiomediastinal contour . The heart measures at the upper limits normal . No hilar adenopathy . Mild vascular congestion . No overt pulmonary edema . No airspace consolidation . No pleural effusion . No suspicious pulmonary nodules or masses . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Mild vascular congestion suggest fluid overload or cardiac decompensation . No pneumonia .