Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . There are small bilateral pleural effusions , best seen on the lateral view with overlying atelectasis , underlying consolidation can not be entirely excluded in the appropriate clinical setting . There is persistent enlargement of the cardiac silhouette , and the aorta is tortuous . Degenerative changes are seen along the spine . Again seen is fracture deformity at the distal right clavicle with some evidence of interval healing . There is also chronic deformity of the right humeral head .
    OUTPUT:
    
Small bilateral pleural effusions with overlying atelectasis , underlying consolidation can not be excluded in the appropriate clinical setting . Persistent enlargement of the cardiac silhouette . Mild pulmonary vascular congestion .