Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings . Superimposed mild pulmonary vascular congestion is also suspected . Cardiac silhouette is moderately enlarged , similar to prior . Atherosclerotic calcifications noted at the aortic arch . Small bilateral effusions are also identified with blunting of the posterior costophrenic angles . Vertebral body height loss in upper lumbar vertebral body has not significantly changed given differences in technique compared to lumbar spine radiographs from ___ .
    OUTPUT:
    
Low lung volumes with mild pulmonary vascular congestion . Small bilateral effusions and moderate cardiomegaly .