Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The study is limited by low lung volumes and slight lordotic positioning . The heart size appears mildly enlarged although this is difficult to reliably discern with lordotic positioning . There appears to be a widespread reticular densities with a background of pulmonary edema as noted by the prominent perihilar and basilar pulmonary vasculature . Small layering bilateral effusions are noted . There is no pneumothorax . There are multiple deformities of the right ribs . No acute bony process is identified .
    OUTPUT:
    
Pulmonary fibrosis and edema with small bilateral effusions .