Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions , small to moderate with fluid within the right fissure . There is engorgement of the hila and bilateral parenchymal opacities throughout the right lung and predominantly at the left mid to lower lung . Cardiac silhouette has enlarged since prior . Left chest wall single lead pacing device with lead tip at right ventricular apex . Median sternotomy wires are intact . Chronic left rib fractures are again noted .
    OUTPUT:
    
Findings of congestive failure including bilateral pleural effusions and edema . Please note that superimposed infection is not excluded and followup after diuresis is suggested .