Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild vascular congestion without overt edema . No focal consolidation is seen . The cardiomediastinal silhouette and hilar contours are within normal limits . There is no pleural effusion or pneumothorax . Old healed right - sided rib fractures are again identified . Degenerative changes are seen at the bilateral shoulders , worse on the right . Bridging osteophytes are noted in the thoracic spine compatible with DISH .
    OUTPUT:
    
Mild vascular congestion . No focal consolidation .