Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains moderately enlarged . Mediastinal contours are stable . Small bilateral pleural effusions are seen posteriorly . Mild pulmonary vascular congestion persists . There is mild left base atelectasis without definite focal consolidation . No pneumothorax is seen . Partially imaged cervical spine hardware re - demonstrated .
    OUTPUT:
    
Small bilateral pleural effusions , mild pulmonary vascular congestion , and moderate cardiomegaly .