Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited due to positioning . Allowing for this limitation : The lungs are hyperinflated , compatible with emphysema . There is bilateral upper vascular redistribution and hilar engorgement suggesting fluid overload . Coarse interstitial thickening some patchy opacities in the right lung are conspicuous . There are bilateral small pleural effusions . There is no pneumothorax . Mild cardiomegaly is present . Fractures of the left lateral sixth , seventh , and eighth ribs are identified .
    OUTPUT:
    
1 . Fractures of the left lateral sixth , seventh , and eighth ribs . 2 . On the background of emphysema , cardiomegaly , and fluid overload there are coarse interstitial markings and patchy opacities in the right lung which may represent a combination of asymmetric interstitial edema with overlapping infectious / inflammatory process .