Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The exam is limited secondary to patient body habitus . No large pleural effusion , pneumothorax , focal consolidation , or pulmonary edema . The cardiomediastinal silhouette is similar the prior exam with mild cardiomegaly . There may be mild pulmonary vascular congestion . No suspicious osseous lesion .
    OUTPUT:
    
1 . Limited exam secondary to patient body habitus . No definite focal consolidation . 2 . Possible mild pulmonary vascular congestion . 3 . Lateral views would be necessary to evaluate the lower lobes .