Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mild - to - moderately enlarged and perhaps somewhat increased in size . The lungs appear hyperinflated . A small pleural effusion is suspected on the right side , but not necessarily changed . Small nodular densities at the lung apices are probably consistent with minor scarring but nodules could be considered ; a subsequent CT on the same day shows no discrete nodules however . A mild interstitial process involving the lung bases persists . Interstitial opacities have increased at the left lung base , although this may be due to decreased low lung volumes , but slight increase in chronic congestion could be considered . The bones appear demineralized . Mild degenerative changes are present along the lower thoracic spine and there are similar lower vertebral compression deformities .
    OUTPUT:
    
Similar to perhaps slightly increased peripheral interstitial opacities in the lower lungs , which may be exaggerated by decreased lung volumes but superimposed congestion or worsening interstitial lung disease could be considered . Possibilities include sequelae of chronic congestion that may have increased somewhat versus intrinsic mild interstitial lung disease , a possibility which could also be investigated with CT if needed clinically .