Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Streaky opacity in the left lower lobe is similar to before . No new consolidation is identified . There is no pneumothorax or pleural effusion . Mildly enlarged cardiac silhouette is unchanged . LARGE HIATAL HERNIA IS UNCHANGED , BETTER DEPICTED ON THE CHEST CT OBTAINED THE NEXT DAY . Old rib fractures are identified on the left . There is pulmonary vascular congestion .
    OUTPUT:
    
No convincing radiographic evidence of pneumonia . Pulmonary vascular congestion .