Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . The lungs are hyperinflated but clear of confluent consolidation . There are small bilateral pleural effusions . In addition , there has been engorgement of the central pulmonary vasculature with indistinct pulmonary markings . Cardiac silhouette has enlarged since previous exam . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Findings suggestive of pulmonary vascular congestion and small bilateral pleural effusions . No evidence of confluent consolidation .