Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains top - normal to mildly enlarged . The aorta is calcified . Mild prominence of the central pulmonary vasculature and minimal prominence of the interstitial markings may be due to central pulmonary vascular engorgement with minimal interstitial edema . No pleural effusion or pneumothorax is seen . There is no focal consolidation . Multilevel degenerative changes are again seen along the spine . Surgical clips project over the right upper outer hemithorax . Degenerative changes are seen at the shoulder and acromioclavicular joints .
    OUTPUT:
    
Pulmonary vascular engorgement with minimal interstitial edema . Top - normal to mildly enlarged cardiac silhouette .