Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Slightly lower lung volumes seen on the current exam . Streaky right mid - to - lower lung opacities are again seen , suggestive of scarring . Indistinct pulmonary vascular markings are seen throughout . There is a small right - sided pleural effusion . Degree of cardiomegaly has not changed . Prosthetic aortic and mitral valve prostheses are noted . There is a compression deformity in the lower thoracic spine which was not present on prior and is age indeterminate . Enlarged main pulmonary artery again seen compatible with pulmonary hypertension .
    OUTPUT:
    
Mild pulmonary edema with a small right pleural effusion . Age indeterminate lower thoracic vertebral body compression deformity for which clinical correlation is suggested .