Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . The heart is enlarged . There is pulmonary vascular congestion , without frank edema . No pneumothorax , pleural effusion , or consolidation . There is diffuse demineralization . EKG leads and metallic clips project over the thoracic wall .
    OUTPUT:
    
1 . No pneumonia . 2 . Pulmonary vascular congestion without frank pulmonary edema . This is superimposed on diffuse interstitial thickening as also noted on the recent chest radiograph dated ___ .