Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate pulmonary edema is increased from the prior exam . Bilateral , small to moderate pleural effusions are new compared to the prior exam . The heart size is difficult to assess with the pleural effusions , but appears stable to minimally increased . There is hilar vascular prominance . No pneumothorax . No focal consolidation in regions not obscured by the pleural effusions . A necklace or chain projects over the left neck . No acute osseous abnormality .
    OUTPUT:
    
New , moderate pulmonary congestion and bilateral small - to - moderate pleural effusions , suggesting decompensated heart failure .