Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate pulmonary vascular congestion and mild to moderate edema . There are small to moderate bilateral pleural effusions . There is no pneumothorax . Cardiomegaly is mild - to - moderate . Imaged osseous structures are intact .
    OUTPUT:
    
Small to moderate bilateral pleural effusions , mild to moderate pulmonary edema , and cardiomegaly suggest CHF .