Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: THE LUNGS ARE HYPERINFLATED AND THERE MAY BE TRACE BILATERAL PLEURAL EFFUSIONS . PROMINENCE IN RELATIVE INDISTINCTNESS OF THE HILA , PERIHILAR REGION SUGGEST VASCULAR ENGORGEMENT . THERE IS ALSO PROMINENCE OF THE UPPER VESICLES . NO PNEUMOTHORAX IS SEEN . THE CARDIAC SILHOUETTE IS NOT ENLARGED . MEDIASTINAL CONTOURS ARE UNREMARKABLE . DEGENERATIVE CHANGES ARE AGAIN SEEN ALONG THE SPINE .
    OUTPUT:
    
HYPERINFLATED LUNGS WITH POSSIBLE TRACE PLEURAL EFFUSIONS . VASCULAR CONGESTION .