Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided AICD device , with 3 leads in place . Median sternotomy wires are intact . There is mild pulmonary vascular congestion , without overt pulmonary edema . Small bilateral pleural effusions . No focal consolidation or evidence of pneumothorax . Calcified pleural plaques are noted on the left . There is calcification of the anterior longitudinal ligament of the thoracic spine consistent with DISH .
    OUTPUT:
    
Mild pulmonary vascular congestion . Small bilateral pleural effusions .