Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right carotid calcifications are seen . There is mild cardiomegaly and mild vascular congestion . There is a small left pleural effusion . There is no pneumothorax and no focal lung consolidation . Hardware is seen in the lower thoracic and upper lumbar spine .
    OUTPUT:
    
Mild vascular congestion and small left pleural effusion .