Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . There is congestion of the pulmonary vasculature in the upper lungs , without overt edema . There small are bilateral effusions . There is no pneumothorax . The cardiomediastinal silhouette is moderately enlarged , similar prior exam
    OUTPUT:
    
Pulmonary vascular congestion in the upper lungs without overt edema . Small bilateral pleural effusions .