Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires are intact and appropriately aligned . There is moderate pulmonary edema . Can not exclude an underlying pneumonia . Small bilateral pleural effusions . Stable enlargement of the cardiomediastinal silhouette . No pneumothorax .
    OUTPUT:
    
Moderate pulmonary edema and small bilateral pleural effusions . Can not entirely exclude an underlying pneumonia .