Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is increased in size compared to the previous exam . Mitral valvular calcifications are again demonstrated . The aorta is tortuous and diffusely calcified . Moderate pulmonary edema is new compared to the previous chest radiograph , with interval increase in size of small bilateral pleural effusions , right greater than left . More focal opacities within the lung bases may reflect compressive atelectasis . There is no pneumothorax . Extensive degenerative changes of both glenohumeral joints are re - demonstrated with erosion of the undersurface of the acromion and distal clavicle on the left .
    OUTPUT:
    
Moderate congestive heart failure with small bilateral pleural effusions , right greater than left , and bibasilar atelectasis .