Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . There is mild prominence of pulmonary vascularity and interstitium without frank pulmonary edema . Patchy opacity in the lingula is linear and suggests atelectasis . Small bilateral pleural effusions are suspected . The lungs are hyperinflated . There is a mild lower thoracic wedge compression deformity that appears chronic and correlates with the prior CT findings . Mild degenerative changes involve the right shoulder .
    OUTPUT:
    
Moderate cardiomegaly and findings suggesting mild vascular congestion .