Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are decreased with resultant bronchovascular crowding . There is no focal consolidation concerning for pneumonia . No significant pleural effusion or pneumothorax is detected . Perihilar fullness and azygous distention in the setting of cardiomegaly is likely related to mild heart failure . The cardiomediastinal contours are stable . Unchanged rib deformities are compatible with prior fracture . Degenerative changes of the left acromioclavicular joint are also unchanged . No acute osseous abnormality is detected .
    OUTPUT:
    
1 . No pneumonia . 2 . Findings compatible with mild heart failure . 3 . Old rib fractures . Degenerative left AC joint disease .