Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , accounting for some bronchovascular crowding . Although assessment is limited due to leftward rotation of the patient , there is appearance of a bilateral hilar engorgement , more prominent in the right , with bilateral diffuse interstitial thickening and perihilar opacities . There might be a small right - sided pleural effusion . Bibasilar atelectasis is present . The sternotomy wires are intact and mediastinal clips are unchanged in location .
    OUTPUT:
    
Findings suggest vascular congestion , bibasilar atelectasis and possible trace pleural effusions . Prominence of the right hilum could be due to vascular engorgement , however , dedicated PA and lateral views would be helpful for further evaluation . Recommend follow - up to exclude underlying lymphadenopathy .