Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are small bilateral pleural effusions with concurrent opacities suggesting atelectasis , right worse than left . There is also coarsening of the vascular and interstitial markings more conspicuous in the right lower lung field . There is moderate aortic tortuosity and cardiomegaly . There is no evidence of pneumothorax . Moderate degenerative changes of the left shoulder are incompletely evaluated .
    OUTPUT:
    
Coarse interstitial markings more prominent in the right lower lung field , associated with small bilateral pleural effusions with concurrent bibasilar atelectasis , right worse than left ; findings suggest mild vascular congestion .