Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . There is no focal consolidation , effusion or pneumothorax . Moderate to severe cardiomegaly noted without signs of edema or pulmonary vascular congestion . The thoracic aorta is tortuous . The bilateral hila are unremarkable . There are tiny bilateral layering pleural effusions . There is biapical pleural parenchymal scarring . Bones are diffusely demineralized . There is a lower thoracic compression fracture with mild kyphotic angulation noted . Please refer to same day MR spine for further details . Chronic deformity of the sternum noted appear
    OUTPUT:
    
1 . Cardiomegaly , tiny pleural effusions . 2 . No overt evidence for pneumonia or edema .