Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The hilar engorgement and indistinct pulmonary vascular markings . Blunting of the posterior costophrenic angles suggests small pleural effusions . Cardiac silhouette is mildly enlarged as on prior . There is tortuosity of the thoracic aorta . Compression deformity at the lower thoracic spine is again noted , grossly unchanged .
    OUTPUT:
    
Cardiomegaly with pulmonary edema and small pleural effusions .