Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate pulmonary vascular congestion which is somewhat asymmetric in the right mid and lower lung zones . Moderate cardiomegaly is unchanged . There may be small bilateral pleural effusions . There are degenerative changes of the shoulder joints bilaterally . There is no pneumothorax .
    OUTPUT:
    
1 . Moderate pulmonary vascular congestion , slightly asymmetric . Recommend followup after diuresis to exclude underlying infection . 2 . Small bilateral pleural effusions .