Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pulmonary vascular congestion has increased since ___ . No focal opacity concerning for pneumonia is identified . There is no pleural effusion or pneumothorax . Prominence of the pulmonary arteries could relate to chronic lung disease or chronic pulmonary emboli . The heart size is normal .
    OUTPUT:
    
Pulmonary vascular congestion has increased since ___ . Prominence of the pulmonary arteries could relate to chronic lung disease or chronic pulmonary emboli in the correct clinical setting .