Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright AP and lateral radiographs of the chest are provided . These images demonstrate pulmonary vascular engorgement , mild interstitial pulmonary edema , enlargement of the cardiac silhouette , and small bilateral pleural effusions . The pattern is most consistent with decompensated congestive heart failure however a concurrent infectious process in the lung bases can not be fully excluded . An artificial aortic valve surgical clips in the mediastinum and upper abdomen , and median sternotomy cerclage wires are present . There are multiple compression fractures in the thoracic spine which are stable for at least a year .
    OUTPUT:
    
Mild decompensated congestive heart failure . Concurrent infectious process at the lung bases can not be fully excluded .