Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is limited secondary to patient positioning . Her head and face obscure the upper lungs . Small to moderate bilateral pleural effusions are noted with superimposed pulmonary vascular congestion . No definite superimposed focal consolidation identified . Degree of cardiomegaly is similar compared to prior . Left chest wall dual lead pacing device is noted . S shaped thoracolumbar scoliosis is noted as well as mild small height loss of 2 thoracic and lumbar vertebral bodies , age indeterminate .
    OUTPUT:
    
Limited exam . Small moderate bilateral pleural effusions with superimposed pulmonary vascular congestion .