Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes . Severe cardiomegaly , as before . The mediastinal and hilar contours are unchanged . There is pulmonary vasculature indistinctness consistent with mild pulmonary edema , not substantially changed in the interval . Atelectasis at the lung bases . There are small bilateral pleural effusions . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Severe cardiomegaly with mild pulmonary edema and small bilateral pleural effusions .