Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Images are poorly penetrated . Cardiac borders are not well defined though heart size is likely enlarged . Vascular congestion is present with enlarged azygous vein . There is no pneumothorax . Probable small pleural effusions are if likely present . Mediastinal widening is likely due to a combination of vascular engorgement and mediastinal fat deposition .
    OUTPUT:
    
Cardiomegaly , pulmonary vascular congestion and small pleural effusions . When the patient 's condition permits , standard PA and lateral chest radiographs are recommended to better assess mediastinal widening .