Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains moderately enlarged , mildly increased compared to the previous exam . Moderate pulmonary edema is demonstrated with perihilar haziness and vascular indistinctness , as well as small bilateral pleural effusions . Mediastinal contour is unremarkable . No pneumothorax is demonstrated . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate congestive heart failure with moderate pulmonary edema and small bilateral pleural effusions .