Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild pulmonary vascular congestion without evidence of frank pulmonary edema . The lungs are hyperinflated with fine interstitial lung markings at both lung bases , which may be due to emphysema or mild vascular congestion . Mild cardiomegaly is present . There is no pneumothorax . A dual - lead left pectoral pacemaker sends leads to the right atrium and right ventricle . The ascending aorta is dilated . Generalized osteopenia and multilevel loss of vertebral body height likely contribute to mild dextroscoliosis of the thoracic or lumbar spine .
    OUTPUT:
    
Mild pulmonary vascular congestion .