Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged with a left ventricular configuration . Indistinct prominent pulmonary vascularity suggests mild fluid overload . The lungs are hyperinflated . Small bilateral pleural effusions are suspected . In addition , referring medial right lower lobe , and perhaps with medial left lower lobe opacity as well , there is a fairly confluent opacity suggestiveof pneumonia in the appropriate clinical setting , although substantial atelectasis could be considered . Fissures appear thickened . Findings are new since the recent prior examination .
    OUTPUT:
    
Findings suggesting vascular congestion . Basilar opacities , pneumonia versus atelectasis .