Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly which is new since ___ . Central pulmonary vessels are engorged , and there is mild interstitial edema with a large right pleural effusion . A trace left pleural effusion is also present . There is no pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly , new since ___ , with large right and small left pleural effusions , central vascular congestion , and mild interstitial edema , concerning for cardiac decompensation .