Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is mildly enlarged . Mediastinal contours are unremarkable . While there may be minimal central pulmonary vascular engorgement , there is no overt pulmonary edema . Degenerative changes are noted at the bilateral acromioclavicular and glenohumeral joints . Evidence of DISH is seen along the thoracic spine .
    OUTPUT:
    
Possible slight central pulmonary vascular engorgement without overt pulmonary edema .