Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged and severe central vascular congestion and interstitial pulmonary edema is noted . Bilateral moderate pleural effusions are noted right greater than left . The upper lung fields are grossly clear . There is no pneumothorax identified . Diffuse bilateral lung nodules are better evaluated on the patient 's recent CT examination .
    OUTPUT:
    
Severe pulmonary edema and bilateral pleural effusions , compatible with congestive heart failure .