Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged . The aorta is tortuous and calcified . Mild pulmonary vascular engorgement is demonstrated with small bilateral pleural effusions . No focal consolidation or pneumothorax is identified . There is diffuse demineralization of the osseous structures with multiple compression deformities re - demonstrated within the low thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions .