Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are possible small bilateral pleural effusions . Pulmonary vascular congestion is improved . Endotracheal tube is in the appropriate position . Cardiac size is mildly enlarged . There is no pneumothorax .
    OUTPUT:
    
Improved pulmonary vascular congestion . Small bilateral pleural effusions appear unchanged . Mild cardiomegaly . Findings consistent with congestive heart failure .