Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild interstitial pulmonary edema and pulmonary vascular congestion . Mild to moderate cardiomegaly . No pleural effusions or pneumothorax . Surgical clips over the upper neck related prior thyroid surgery . Heterogeneous diffusely sclerotic bone with sclerosis of bilateral subchondral humeral heads . Note is also made of an absent spleen and prior cholecystectomy .
    OUTPUT:
    
Diffuse mild interstitial abnormality likely pulmonary edema . Bilateral mild sclerosis of the humeral heads can be avascular necrosis . Diffuse sclerosis of the bones likely due to patients known diagnosis ESRD and sickle cell disease .