Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . Mild vascular congestion may be present . There is mild elevation of the right hemidiaphragm . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is top - normal to mildly enlarged . The aorta is calcified and tortuous . The spine is not well assessed due to osteopenia and overlying external artifact , however , compression deformities in the mid thoracic spine are not excluded .
    OUTPUT:
    
Low lung volumes with possible mild vascular congestion . No focal consolidation or pleural effusion . Spine is not well assessed due to osteopenia and overlying external artifact , however , compression deformities in the mid thoracic spine are not excluded .