Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged , unchanged . Mediastinal contour similar . There is moderate pulmonary edema , not substantially changed in the interval , with moderate size bilateral layering pleural effusions , relatively unchanged . Bibasilar airspace opacities likely reflect areas of compressive atelectasis . No pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate congestive heart failure with moderate pulmonary edema and moderate size bilateral pleural effusions . Bibasilar opacities likely reflect compressive atelectasis .