Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . Increased pulmonary vascular markings compared to the prior exam . No focal pulmonary consolidation , pleural effusion , or pneumothorax . No pneumomediastinum . The cardiomediastinal silhouette , hila , and pleura are normal . No acute osseous abnormality .
    OUTPUT:
    
1 . No pneumothorax . 2 . Increased pulmonary - vascular congestion .