Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear of confluent consolidation . There is pulmonary vascular congestion and small bilateral effusions . Incidentally noted is an azygos fissure . Cardiomediastinal silhouette is within normal limits for technique . Atherosclerotic calcifications noted at the aortic arch . No acute osseous abnormalities identified .
    OUTPUT:
    
Pulmonary vascular congestion M small bilateral effusions .