Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged . Apparent widening of the mediastinum is likely due to patient rotation and low lung volumes . There is evidence of congestive failure with moderate right and small left pleural effusions , mild pulmonary edema , and lower lobe opacities consistent with atelectasis . No pneumothorax .
    OUTPUT:
    
Congestive failure with mild pulmonary edema , moderate cardiomegaly , and moderate right and small left pleural effusions .