Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There are small bilateral effusions . Increased interstitial markings are seen throughout the lungs . The cardiac silhouette is moderately enlarged . Compression deformity in the upper lumbar spine is age indeterminate .
    OUTPUT:
    
Hyperinflation . Increased interstitial markings throughout the lungs could be due to chronic interstitial changes although a component of interstitial edema is possible especially in the setting of small bilateral effusions and moderate cardiomegaly . Age-indeterminate upper lumbar compression deformity .