Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate bilateral pleural effusions with overlying atelectasis . Moderate to severe pulmonary edema is seen . A right - sided PICC terminates in the low SVC . No pneumothorax is seen . Patient is status post median sternotomy and cardiac valve replacement . The cardiac silhouette is moderate to severely enlarged . Mediastinal contours are unremarkable .
    OUTPUT:
    
Moderate bilateral pleural effusions , pulmonary edema , and cardiomegaly suggest CHF .