Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires and mediastinal clips are noted . The heart is moderately enlarged and there is pulmonary edema with a small right and a moderate left pleural effusion . Associated left lower lobe atelectasis is likely present , though can not exclude pneumonia . Bony structures appear grossly intact . Vascular calcifications along the thoracic aorta noted . No free air below the right hemidiaphragm . Calcifications projecting over the right upper quadrant likely reflect costal cartilage calcification .
    OUTPUT:
    
Pulmonary edema with bilateral effusions and moderate cardiomegaly .