Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes accentuate mild vascular plethora and borderline cardiomegaly . There is no pulmonary edema , pleural effusion or focal consolidation . Hilar and mediastinal silhouettes are unremarkable . Partially imaged upper abdomen is unremarkable .
    OUTPUT:
    
Probable early cardiac decompensation .