Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternal wires appear intact . Multiple mediastinal surgical clips are noted heart size is considerably enlarged , particularly the left atrium . The lungs demonstrate moderate interstitial edema . Bilateral pleural effusions are small . There is no evidence of pneumonia retrocardiac opacification likely reflects atelectasis .
    OUTPUT:
    
1 . Moderate cardiomegaly and moderate interstitial edema . 2 . Small bilateral pleural effusions .