Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is unchanged . There is mild interstitial pulmonary edema with perihilar haziness and vascular indistinctness . Small bilateral pleural effusions are present . There is no pneumothorax . Mild degenerative changes of the thoracic spine are visualized .
    OUTPUT:
    
Mild congestive heart failure with small bilateral pleural effusions and mild interstitial pulmonary edema .