Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is present . The aortic knob is calcified . There is mild pulmonary vascular congestion . Small bilateral pleural effusions are noted . Streaky opacities in the lung bases likely reflect atelectasis . No pneumothorax is seen . Moderate to severe multilevel degenerative changes are noted within the thoracic spine . Degenerative changes are also seen within both acromioclavicular joints and left glenohumeral joint with osteophytic spurring .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions . Mild bibasilar atelectasis .