Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged , especially the left atrium . A moderate interstitial abnormality suggest congestive heart failure . There is a pleural effusion on the left , probably small to moderate in size , and a small right - sided pleural effusion . Fissures appear thickened . There is no pneumothorax . Interstitial type opacification is most confluent in the posterior right lower lobe , although suspicion is that this is also edema .
    OUTPUT:
    
Findings most consistent with moderate interstitial pulmonary edema , accompanied by pleural effusions . Attenation in follow - up suggested regarding more confluent opacity at the right lung base although edema is again the suspected etiology ; coinciding pneumonia is not excluded , however .