Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged ; underlying cardiomyopathy or pericardial effusion is not excluded . There are small bilateral pleural effusions . No pulmonary edema is seen . There is no focal consolidation or pneumothorax .
    OUTPUT:
    
Small bilateral pleural effusions . Mild enlarged of the cardiac silhouette , underlying cardiomyopathy or pericardial effusion not excluded . No pulmonary edema .