Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal view of the chest was obtained portably . There are small bilateral pleural effusions , right larger than left . No definite pneumonia . Severe cardiomegaly with aortic tortuosity is noted . The patient is status post median sternotomy with prosthetic valve . Old healed deformities in the bilateral shoulders are noted .
    OUTPUT:
    
Findings suggest mild cardiac decompensation . No pneumonia .