Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of cardiac silhouette is unchanged . The mediastinal and hilar contours are relatively stable . There is mild pulmonary vascular congestion . Small bilateral pleural effusions are noted with bibasilar airspace opacities likely reflecting atelectasis . No pneumothorax is seen . The lungs are hyperinflated with mild emphysematous changes again demonstrated . Old left - sided rib fractures are again noted . There are mild degenerative changes in the imaged thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions with bibasilar atelectasis .