Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are a small - moderate bilateral pleural effusions and moderate pulmonary edema . Enlargement of cardiac silhouette is again seen . Tortuosity of the thoracic aorta is again noted . No acute osseous abnormalities .
    OUTPUT:
    
Small - moderate bilateral pleural effusions and moderate pulmonary edema .