Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate pulmonary edema and stable cardiomegaly . There is pulmonary arterial enlargement . There is a small left pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Stable cardiomegaly , moderate pulmonary edema , and small left pleural effusion , consistent with decompensated congestive heart failure .