Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is prominence of the pulmonary vasculature suggestive of mild - to - moderate increased in central pulmonary pressure . Additionally , there is silhouetting of the left hemidiaphragm likely due to a small pleural effusion with adjacent atelectasis . The cardiac silhouette appears moderately enlarged . The lungs are otherwise without a focal consolidation . No acute fractures are identified .
    OUTPUT:
    
Enlarged cardiomediastinal silhouette with left pleural effusion and prominence of central pulmonary vasculature suggestive of acute heart failure .