Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate enlargement of the cardiac silhouette . There is moderate pulmonary edema . Possible small bilateral pleural effusions . No acute osseous abnormalities .
    OUTPUT:
    
Enlarged cardiac silhouette , potentially due to cardiac enlargement or potentially a pericardial effusion . Moderate pulmonary edema and small pleural effusions .