Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . There is mild pulmonary vascular congestion with associated interstitial edema . Prominent bilateral hilar contours are likely due to vascular congestion . Small bilateral pleural effusions are present . There is no pneumothorax . Heart size can not be accurately assessed . A large hiatal hernia is present . Generalized osteopenia and multilevel compression deformities contribute to marked thoracic spine kyphosis .
    OUTPUT:
    
Mild pulmonary vascular congestion with interstitial edema . Small bilateral pleural effusions . Large hiatal hernia . Marked kyphosis .