Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable with moderate to severe cardiomegaly and tortuous aorta . There is mild vascular congestion . Bilateral effusions small and are associated with adjacent atelectasis . There is no pneumothorax . There are moderate degenerative changes in the thoracic spine
    OUTPUT:
    
Vascular congestion with small bilateral effusions Stable cardiomegaly