Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval development of bilateral lower lobe airspace opacities and small to moderate pleural effusions since ___ . The lung volumes have decreased . No pneumothorax identified . The mediastinal contours are normal . The cardiac silhouette has increased in size since ___ .
    OUTPUT:
    
1 . Increased in cardiac silhouette associated with development of mild to moderate pleural effusions and moderate pulmonary edema . This findings are consistent with heart failure ; pericardial effusion can be present .