Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . Lungs are hypoinflated , which results in crowding of the bronchovascular structures and bibasilar atelectasis . There is mild vascular congestion without frank pulmonary edema . No pleural effusion , pneumothorax or focal airspace consolidation . Heart is mildly enlarged , unchanged . Left pectoral pacemaker is constant . Cholecystectomy clips are again noted .
    OUTPUT:
    
Unchanged , mild vascular congestion without overt pulmonary edema .