Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the previous radiograph , there is an ongoing increase in size of the cardiac silhouette . In addition , bilateral small - to - moderate pleural effusions have developed , as has atelectasis at the lung bases . The lower lung volumes also contribute to the impression of an increased mediastinal diameter .
    OUTPUT:
    
Moderate cardiomegaly with mild - to - moderate pulmonary edema , bilateral pleural effusions and subsequent areas of atelectasis . At the time of dictation and observation , 3 : 19 p .m . , on ___ , the referring physician , ___ . ___ , was paged for notification .