Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged . The hilar and mediastinal contours are somewhat obscured by hazy patchy opacities which extend across both lungs , predominantly at the bases . The central pulmonary vessels are engorged and hazy . This constellation of findings is most compatible with moderate - to - severe interstitial edema . Small bilateral pleural effusions are likely present . There is no pneumothorax .
    OUTPUT:
    
Moderate - to - severe pulmonary interstitial edema and likely pleural effusions , concerning for cardiac decompensation .