Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube and nasogastric tube have been removed . However , there are increasing bilateral parenchymal opacities and small bilateral pleural effusions consistent with moderately severe congestive heart failure . The heart is enlarged . There is no pneumothorax .
    OUTPUT:
    
Moderately severe congestive heart failure . Subsequent radiograph demonstrates that the patient has been intubated .