Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation to suggest pneumonia is seen . There are small bilateral pleural effusions . There is vascular congestion . Moderate - to - severe cardiomegaly is present , with apparent enlargement of the left atrium . No pneumothorax is seen . A likely compression deformity at L2 appears grossly similar to prior exam .
    OUTPUT:
    
Cardiomegaly with vascular congestion and small bilateral pleural effusions .