Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions , worse on the left , with moderate interstitial and alveolar pulmonary edema coupled with central pulmonary venous engorgement . The heart is enlarged . There is no pneumothorax . The patient is status post CABG with intact sternal cerclage wires and multiple anterior mediastinal vascular clips . Ventriculoperitoneal shunt is partially imaged .
    OUTPUT:
    
Left - greater - than - right pleural effusions with moderate pulmonary edema consistent with decompensated congestive heart failure .