Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild to moderate bilateral pleural effusions noted . Mild increase in size of cardiac silhouette . Mild increase in right pulmonary vasculature . No pneumothorax or focal consolidation is noted . Mediastinal contours are normal . No bony abnormality is detected .
    OUTPUT:
    
New pulmonary effusions bilaterally , increased cardiac silhouette and vasculature markings suggestive of congestive heart failure .