Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is engorgement of the central vasculature and slightly indistinct pulmonary vascular markings suggesting congestion though no overt edema . There is no large pleural effusion noting that the right costophrenic angle is excluded from the field of view . Enlarged cardiac silhouette and prominence of the upper mediastinal contours are similar . Anterior and posterior fixation hardware seen in the visualized lower cervical spine with fracture through the most inferior left - sided screw .
    OUTPUT:
    
Vascular congestion without overt edema . Fracture through the inferior most cervical spine posterior fixation hardware screw on the left .