Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains moderately enlarged , unchanged . The mediastinal and hilar contours are similar with atherosclerotic calcifications of the aorta again noted . Mild pulmonary vascular congestion is demonstrated along with increased size of moderate left and small right pleural effusions . Bibasilar airspace opacities likely reflect areas of atelectasis . Lung hyperinflation is re - demonstrated . No pneumothorax is present . There are diffuse degenerative changes within the thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion with increased size of bilateral pleural effusions , moderate on the left and small on the right .