Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged . There is increased opacity at the bilateral lung bases right greater than left . There is blunting of the left costophrenic angle , representing a pleural effusion . There is likely a small right - sided pleural effusion as well . The mediastinal contours is normal . There is no pneumothorax .
    OUTPUT:
    
Cardiomegaly , bilateral pleural effusions , and bibasilar opacities right greater than left , concerning for multifocal pneumonia with pulmonary edema being less likely .