Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral moderately sized pleural effusions with adjacent atelectasis . The heart size is large . There is mild pulmonary vascular congestion . No pneumothorax is evident . Aortic calcifications are noted . No large airspace consolidation is seen .
    OUTPUT:
    
Cardiomegaly and moderate bilateral pleural effusions with pulmonary vascular congestion is concerning for congestive heart failure . An underlying infection is not excluded in the appropriate clinical setting .