Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right pleural effusion is small to moderate . A left pleural effusion is trace to small . Pulmonary edema is mild . The heart is moderately enlarged . No pneumothorax . Thoracic aortic calcification is mild . Degenerative changes in the shoulders are moderate . Degenerative changes of thoracic spine are also moderate .
    OUTPUT:
    
Findings consistent with volume overload / heart failure .