Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with lead terminating in the right ventricle . The patient is status post median sternotomy , CABG , and prostatic mitral valve . Moderate cardiomegaly is demonstrated with mild pulmonary vascular congestion . Thoracic aorta is diffusely calcified . Small bilateral pleural effusions , greater the left are noted with bibasilar streaky opacities , likely atelectasis . The lungs are hyperinflated with emphysematous changes noted . No pneumothorax is present . No acute osseous abnormalities are seen . There are moderate multilevel degenerative changes noted in the thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions with bibasilar atelectasis .