Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is stable . The aorta is tortuous . Port a cath tip is in standard position . There is no pneumothorax . Bilateral effusions are small larger on the right associated with adjacent atelectasis . There is mild vascular congestion . There are moderate degenerative changes in the thoracic spine
    OUTPUT:
    
Mild vascular congestion and small bilateral effusions