Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Consistent with history , there is interstitial prominence and vascular engorgement centrally . This study is somewhat limited secondary to body habitus and low lung volumes however the reported right pleural effusion is clearly evident . There is also likely a left pleural effusion . No definite single dense consolidation is noted . Please note there is senescent calcification of the tracheobronchial tree . Mild aortic tortuosity is noted with calcified plaque seen throughout . Cardiac silhouette size is difficult to assess due to low lung volumes however is enlarged and remains grossly stable . Profound osteopenia is noted throughout the spine . There is a compression - type deformity involving a lower thoracic spine vertebral body . This is age indeterminate as no prior studies are available to confirm chronicity . The level is likely T10 . Overall morphology suggests chronicity .
    OUTPUT:
    
Interstitial edema likely from cardiogenic etiology . There are small bilateral pleural effusions . Consider repeat radiography after appropriate diuresis to assess for underlying infection . Hypertensive cardiomediastinal configuration .