Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is again demonstrated . The aorta is tortuous and diffusely calcified . There is mild pulmonary edema . Probable small right pleural effusion is noted . No focal consolidation or pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild congestive heart failure and small right pleural effusion .