Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderately enlarged , minimally increased compared to the prior exam . The aorta remains tortuous . There is mild pulmonary edema with upper zone vascular redistribution and vascular indistinctness . Small bilateral pleural effusions are new . Retrocardiac and right basilar opacities likely reflect areas of atelectasis . No pneumothorax is identified . Degenerative changes are noted within the thoracic spine .
    OUTPUT:
    
Mild congestive heart failure with small bilateral pleural effusions .