Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New moderate right pleural effusion , small left pleural effusion , increased severe cardiomegaly , and mild pulmonary edema since ___ . Median sternotomy wires are intact and well aligned . Unchanged appearance of aortic valve . No pneumothorax .
    OUTPUT:
    
1 . New moderate right pleural effusion , small left pleural effusion , increased severe cardiomegaly , and mild pulmonary edema compatible with acute CHF exacerbation .