Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is pulmonary vascular congestion without overt edema . There is no focal consolidation or large effusion . Cardiac enlargement is similar compared to prior . Median sternotomy wires and mediastinal clips are again noted . Vascular stent projects over the region of the mid left clavicular head . No acute osseous abnormalities .
    OUTPUT:
    
Pulmonary vascular congestion without overt edema or focal consolidation . .