Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Lung volumes low . Cardiomegaly is again noted , mild with hilar congestion . No frank edema . No large effusion or pneumothorax . Mediastinal contour is stable . Significant deformity noted at both shoulders unchanged .
    OUTPUT:
    
Mild cardiomegaly with hilar congestion . Chronic deformity at the shoulders .