Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is upper limits of normal in size accompanied by pulmonary vascular congestion , new bronchial wall thickening and scattered interstitial opacities with lower lung predominance . Minimal patchy opacities are also seen in both lung bases . No pleural effusion . Bones are diffusely demineralized , and a compression deformity is observed in the upper lumbar spine , present since ___ lateral chest radiograph . Healed lateral right rib fractures are also noted .
    OUTPUT:
    
Findings may be explained by congestive heart failure with interstitial edema , but differential diagnosis includes an atypical pneumonia . If the diagnosis is in doubt clinically , short - term followup radiographs after diuresis may be helpful .