Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . No prior . There are bibasilar opacities , larger on the left than right . These are suggestive of pleural effusions with probable underlying airspace opacity as well . There is engorgement of the central pulmonary vasculature with indistinct pulmonary vascular markings peripherally . Cardiac silhouette appears enlarged ; however , is not well seen secondary to silhouetting from airspace disease . Osseous and soft tissue structures are grossly unremarkable .
    OUTPUT:
    
Findings are suggestive of failure . Two - view chest may help further characterize .