Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Assessment of the lung apices is obscured by the patient 's neck and chin projecting over and obscuring this region . The heart size remains mildly enlarged . The aorta is tortuous and diffusely calcified . There is crowding of the bronchovascular structures . Mild pulmonary vascular engorgement is present . Streaky right basilar opacity is seen , though no focal consolidation is present . No pleural effusion or pneumothorax is identified . Diffuse demineralization of the osseous structures is present . S - shaped scoliosis of the thoracic spine is present .
    OUTPUT:
    
Low lung volumes with obscuration of the lung apices . Within these limitations , there is mild pulmonary vascular congestion and streaky right basilar atelectasis .