Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains moderate enlarged . The mediastinal and hilar contours are grossly unchanged . There is mild pulmonary vascular congestion without focal consolidation . Small bilateral pleural effusions are present . No pneumothorax noted . Marked narrowing of the right acromiohumeral interval indicates underlying rotator cuff disease .
    OUTPUT:
    
Mild pulmonary vascular congestion small bilateral pleural effusions .