Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a marked cardiomegaly as well as moderate pulmonary interstitial and alveolar edema . There are small bilateral pleural effusions . There is no pneumothorax . Osseous structures are grossly intact .
    OUTPUT:
    
Severe cardiomegaly with moderate pulmonary interstitial and alveolar edema . Small bilateral pleural effusions .