Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly a has a mildly increased . Bilateral effusions are small . There is mild vascular congestion . There is no pneumothorax . Right subclavian stent is in place . Cervical spinal hardware is partially imaged
    OUTPUT:
    
Very small pleural effusions . Mild vascular congestion .