Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The chin obscures the right apex . The heart is mildly enlarged . The hilar and mediastinal contour course are unchanged . Pediatric sternal wires and a cardiac valve are unchanged in orientation . There is new pulmonary vascular congestion with mild edema and new small bilateral pleural effusions .
    OUTPUT:
    
New pulmonary vascular congestion and mild pulmonary edema , with new small bilateral pleural effusions .