Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . The heart size is normal . The mediastinal and hilar contours are unchanged . There is crowding of the bronchovascular structures as a result of the low lung volumes . Mild pulmonary vascular congestion is noted with peribronchial cuffing . No focal consolidation , pleural effusion or pneumothorax is detected . Degenerative changes of both glenohumeral joints are seen .
    OUTPUT:
    
Mild pulmonary vascular congestion , and low lung volumes .