Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated somewhat to the left . No definite focal consolidation is seen . There is no large pleural effusion or pneumothorax . Cardiac and mediastinal silhouettes are grossly stable . Central pulmonary vascular engorgement is seen . No overt pulmonary edema . Degenerative changes are again seen along the spine , although not well assessed on this study .
    OUTPUT:
    
Central pulmonary vascular engorgement without overt pulmonary edema .