Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is normal in size . Interval distention of the azygos vein , accompanied by mild pulmonary vascular congestion and minimal interstitial edema . Patchy bibasilar opacities are present , as well as small bilateral pleural effusions .
    OUTPUT:
    
1 . Pulmonary vascular congestion accompanied by interstitial edema and small pleural effusions . 2 . Patchy bibasilar opacities most likely represent atelectasis , but aspiration and developing pneumonia are additional considerations .