Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low bilateral lung volumes . Small bilateral layering pleural effusions with overlying atelectasis . There is new central vascular congestion . The size the cardiac silhouette is mildly enlarged but unchanged . The left internal jugular sheath is unchanged .
    OUTPUT:
    
Low bilateral lung volumes with layering bilateral pleural effusions and overlying atelectasis . New central pulmonary vascular congestion .