Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph was obtained . Pulmonary vascular engorgement and increased interstitial abnormalities are consistent with mild to moderate pulmonary edema with likely accompanied bilateral pleural effusions . Left retrocardiac and right basilar opacities in this setting could reflect asymmetric edema or atelectasis , however an infectious process can not entirely be excluded . The heart is top - normal in size .
    OUTPUT:
    
Mild to moderate pulmonary edema with likely small bilateral effusions . In the setting of this edema , left greater than right lower lung opacities could reflect asymmetric edema , atelectasis or pneumonia . Followup 2 view radiograph after diuresis is recommended for better assessment .