Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Inspiratory volumes are slightly low . There is mild cardiomegaly . The aorta is calcified and slightly tortuous , similar to ___ . There is upper zone redistribution possible slight vascular plethora , but no overt CHF . The right hemidiaphragm is elevated , with crowding of vessels in the right cardiophrenic region . No discrete focal infiltrate or frank consolidation is identified . Linear densities in the lower lobe posteriorly on the lateral view are thought to represent superimposition of vascular and osseous shadows . No pleural effusion seen on either side . Tiny ( 2 .3 mm ) calcified granuloma in the right upper zone laterally overlying the right fourth posterior rib . Osteopenia and degenerative change of the thoracic spine are noted . At the edge of this film , incidental note is made of degenerative changes in the shoulders .
    OUTPUT:
    
Cardiomegaly , with calcified , slightly tortuous aorta . Upper zone redistribution with slight vascular plethora , compatible with mild fluid overload . No overt CHF . Elevated , eventrated right hemidiaphragm . This is associated with crowding of vessels in the right infrahilar region . Both findings are slightly more pronounced than in ___ . The appearance is more suggestive of atelectasis / scarring than an acute infiltrate . The possibility of an early infiltrate or area of aspiration pneumonitis in this location is considered unlikely , but can not be entirely excluded . Elsewhere , no focal infiltrate or consolidation to suggest pneumonia . No pleural effusions .