Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is enlarged , particularly the left atrium . The aorta is tortuous . There is cephalization and trace bilateral pleural effusions . No pneumothorax is identified . There is a left retrocardiac opacity . The right lung is clear .
    OUTPUT:
    
Moderate cardiomegaly , trace bilateral pleural effusions and mild vascular congestion .