Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Re-identified are bilateral glenohumeral prosthetic devices . There is significant rightward rotation of the patient on the current radiograph . Allowing for changes due to this , the cardiomediastinal silhouettes are stable , reflective of moderate cardiomegaly . There is pulmonary vascular congestion and possibly early or mild pulmonary edema . There is bibasilar atelectasis . There is no definite focal lung consolidation , however the right lung is at least partly obscured medially and at its inferior aspect due to patient rotation , making evaluation of the right lung difficult . There is no pneumothorax . There is no sizable pleural effusion , although difficult to exclude trace left pleural effusion .
    OUTPUT:
    
1 . Limited study due to rotation and low lung volumes . Pulmonary vascular congestion and possible early or mild pulmonary edema . 2 . No definite focal consolidation , however there is limited evaluation of the right lung due to patient rotation . If there is continued clinical concern for pneumonia , recommend repeat chest radiograph with improved inspiratory effort and technique .