Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderately enlarged . There is pulmonary vascular congestion with diffuse bilateral moderate pulmonary edema . There are small bilateral pleural effusions . Adjacent opacities are likely secondary to atelectasis ; however , an acute infectious process can not be excluded . There is no evidence of a pneumothorax . The visualized osseous structures are grossly unremarkable .
    OUTPUT:
    
1 . Moderate pulmonary edema . 2 . Small bilateral pleural effusions with adjacent opacities likely secondary to atelectasis ; however , an acute infectious process can not be excluded .