Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Lungs appear clear though volumes are somewhat low . The heart is mildly enlarged . No overt edema is seen though there is likely mild central congestion . No convincing evidence for pneumonia . No pneumothorax . Severe degenerative disease at both shoulders noted .
    OUTPUT:
    
Mild cardiomegaly with mild pulmonary vascular congestion .