Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the hemidiaphragms on the lateral view consistent with chronic pulmonary disease . There is mild pulmonary vascular congestion but no frank edema . The heart remains mildly enlarged . Pleural effusions have resolved . No pneumothorax . The mediastinum is not widened . The descending thoracic aorta is tortuous . Anterior spinal fusion hardware in the cervical spine is incompletely imaged . Bilateral acromioclavicular joint degenerative changes are worse on the right .
    OUTPUT:
    
1 . Cardiomegaly and mild pulmonary vascular congestion . 2 . Chronic pulmonary disease .