Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . The cardiac silhouette is top normal . Mild pulmonary vascular congestion is new , but there is no edema . The mediastinal silhouette and hilar contours are normal . No pleural effusion or pneumothorax is present .
    OUTPUT:
    
Mild pulmonary vascular congestion could be an indication of early cardiac decompensation or a hyperdynamic circulation . ___ ___ was paged at the time of approval .