Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is pulmonary vascular congestion without frank edema . No focal consolidation is identified . There is a small left pleural effusion . The cardiac silhouette is mildly enlarged . No pneumothorax is identified . There is unchanged asymmetric elevation of the right hemidiaphragm . Chronic deformity of the right shoulder is again noted .
    OUTPUT:
    
1 . No focal consolidation . 2 . Mild pulmonary vascular congestion and cardiomegaly . Small left pleural effusion