Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate bilateral pleural effusions with volume loss / infiltrate in both lower lungs . There is mild pulmonary vascular redistribution . The heart size is mildly enlarged . The aorta is calcified and tortuous . Spine demonstrates a mild scoliosis and degenerative changes .
    OUTPUT:
    
CHF . An underlying infectious infiltrate can not be excluded .