Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette is unchanged . The aorta is diffusely calcified . Mediastinal and hilar contours are similar . Mild pulmonary vascular congestion persists with small bilateral pleural effusions , new in the interval . Lungs are hyperinflated . No pneumothorax or focal consolidation is present . There are no acute osseous abnormalities . Compression deformity of a low thoracic vertebral body is unchanged .
    OUTPUT:
    
Mild pulmonary vascular congestion with new small bilateral pleural effusions .