Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes lead to crowding of the bronchovascular structures . Moderate to severe cardiomegaly is unchanged , as is moderate central pulmonary vascular congestion and interstitial edema . Small bilateral pleural effusions with adjacent atelectasis is noted . The upper lungs are grossly clear . There is no pneumothorax . There is wedging of a few thoracic vertebral bodies .
    OUTPUT:
    
Moderate to severe cardiomegaly with moderate pulmonary edema and small bilateral pleural effusions .