Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size likely is moderately enlarged but difficult to assess given the presence of moderate bilateral pleural effusions , increased from the prior exam . Bibasilar airspace opacities may reflect compressive atelectasis . There is mild to moderate pulmonary edema . No pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate congestive heart failure with moderate size bilateral pleural effusions , bibasilar atelectasis , mild to moderate pulmonary edema .