Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is limited due to patient positioning and low lung volumes . There is secondary crowding of the bronchovascular markings . Small pleural effusions are suspected and perhaps pulmonary vascular congestion . The cardiomediastinal silhouette is stable .
    OUTPUT:
    
Limited exam with possible bilateral effusions and pulmonary vascular congestion .