Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is increased compared to the previous exam . The aorta is diffusely calcified . The mediastinal contours remain unchanged with mild tortuosity of the thoracic aorta again noted . There are increased interstitial markings compatible with mild interstitial pulmonary edema . Small bilateral pleural effusions are also demonstrated . No pneumothorax is identified . Mild degenerative changes are noted throughout the thoracic spine . Remote displaced and angulated fracture of the left mid clavicle is re - demonstrated .
    OUTPUT:
    
Mild congestive heart failure with mild interstitial pulmonary edema , increased cardiomegaly , and small bilateral pleural effusions .