Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph provided . There are prominent interstitial markings bilaterally with increased vasculature consistent with pulmonary congestion . There are bilateral pleural effusions , right greater than left . There is no pneumothorax . The cardiomediastinal silhouette is enlarged .
    OUTPUT:
    
Pulmonary vascular congestion with bilateral pleural effusions , right greater than left .