Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate severe cardiomegaly is again noted . Enlarged hila and indistinct pulmonary vascular markings are again seen . No definite focal consolidation identified noting that evaluation particularly left lung base is obscured . There may be small bilateral effusions . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly with enlarged pulmonary arteries , mild pulmonary edema and small bilateral effusions .