Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is re - demonstrated . The aorta is tortuous and diffusely calcified . There is mild pulmonary vascular congestion without overt pulmonary edema . A moderate size right pleural effusion is noted along with a small left pleural effusion . Patchy opacities in lung bases likely reflect areas of atelectasis . No pneumothorax is identified . Mild to moderate degenerative changes are noted in the imaged thoracolumbar spine .
    OUTPUT:
    
Mild pulmonary vascular engorgement with moderate size right and small left bilateral pleural effusions . Bibasilar atelectasis .