Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly has been stable compared to exams dated back to ___ . There is pulmonary vascular congestion otherwise the hilar and mediastinal contours are unremarkable . Mild - to - moderate pulmonary edema has increased compared to the prior exam from ___ . There are small bilateral pleural effusions . There is no evidence of pneumothorax .
    OUTPUT:
    
Evidence of heart failure with interval increase in mild - to - moderate pulmonary edema and small bilateral pleural effusions .