Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate severe thoracic spine kyphosis . Small bilateral pleural effusions are seen , right greater than left . The cardiac contour is enlarged . There is prominence of the azygos vein resulting in fullness of the right mediastinum . No focal consolidation concerning for pneumonia is seen . No pneumothorax is appreciated . Surgical clips are noted overlying the right breast .
    OUTPUT:
    
Small bilateral pleural effusions with no focal consolidation . Vascular congestion with enlarged cardiac silhouette .