Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate - to - large left pleural effusion and mild - to - moderate at right pleural effusions associated with adjacent lung atelectasis are unchanged . Mild pulmonary vascular congestion is similar . Moderate cardiomegaly is unchanged .
    OUTPUT:
    
Moderate cardiomegaly , moderate - to - large left and mild - to - moderate right - sided pleural effusions and Mild pulmonary vascular congestion is unchanged .