Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart is upper limits of normal in size , is accompanied by pulmonary vascular congestion , diffuse interstitial edema , and more confluent perihilar and basilar opacities likely due to edema as well . Moderate - sized bilateral pleural effusions are also demonstrated .
    OUTPUT:
    
Moderate pulmonary edema and pleural effusions . Followup radiograph after diuresis may be helpful to confirm resolution and to exclude other co-existing process such as aspiration .