Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are mildly hyperinflated with flattening of diaphragms . There is vascular congestion with cephalization . Right lower lobe opacity is noted . Interval increase in small bilateral pleural effusions . No pneumothorax . Heart is top - normal in size . Mediastinal contour , and hila are unremarkable .
    OUTPUT:
    
1 . Vascular congestion with mild increase in small bilateral pleural effusions . 2 . Emphysema or chronic obstructive pulmonary disease . 3 . Right lower lobe opacity is most consistent with atelectasis .