Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is re - demonstrated . The mediastinal and hilar contours are unchanged . There is mild pulmonary vascular congestion . Hyperinflation of the lungs is demonstrated with flattening of the diaphragms . Interstitial opacities at the lung bases likely reflect areas of atelectasis . No pleural effusion or pneumothorax is clearly evident . There are no acute osseous abnormalities . Chronic deformities of both glenohumeral joints are re - demonstrated with resorption of both sides of the joint as well as unchanged anterior dislocation on the right .
    OUTPUT:
    
Mild bibasilar atelectasis . Findings suggestive of neuropathic joints involving both shoulders .