Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in sitting semi-upright position . Available for comparison is a preceding chest examination dated ___ , issued by the ___ emergency room . On present examination , significant cardiac enlargement is seen . The pulmonary vasculature is markedly congested bilaterally with prominent perivascular haze in the pulmonary circulation . The lateral bases are obscured , so are the diaphragmatic contours compatible with bilateral pleural effusions . No pneumothorax can be identified in the apical area . In comparison with the next previous examination obtained one earlier , the pulmonary congestive pattern has markedly increased and the same is too for the bilateral pleural effusions .
    OUTPUT:
    
Advanced CHF with bilateral pleural effusions and beginning central pulmonary edema .