Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is limited by patient positioning , patient 's chin overlies the left lung apex The heart is moderately enlarged . There are perihilar opacities and increased interstitial markings compatible with pulmonary edema . There are also small to moderate bilateral pleural effusions with adjacent volume loss . There is no pneumothorax .
    OUTPUT:
    
Cardiac failure with pulmonary edema and bilateral pleural effusions .