Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is stable . The lungs are hyperinflated . Bilateral effusions are small . There is minimal interstitial pulmonary edema . There is no pneumothorax . There are mild degenerative changes in the thoracic spine . Pulmonary arteries are prominent
    OUTPUT:
    
Emphysema . Minimal interstitial edema . Small bilateral effusions