Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is at the upper limits of normal . Calcific atherosclerotic changes of the aortic arch . Mild cephalization of pulmonary blood vessels . Mild coarsening of the bronchovascular markings . Kerley B lines noted in the lower lung zones . Suspected small bilateral pleural effusions . Apical scarring is unchanged . No pneumonia . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Findings suggestive of mild cardiac decompensation in the form of interstitial pulmonary edema . No airspace consolidation to suggest pneumonia .