Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased pulmonary vascular congestion . Moderate bilateral pleural effusions . Cardiomegaly . Normal mediastinal contours . Stable slight tortuosity of the descending aorta . No pneumothorax . No focal consolidation to suggest pneumonia . No acute osseous abnormality .
    OUTPUT:
    
Radiographic findings most consistent with congestive heart failure , including cardiomegaly , pulmonary vascular congestion , and bilateral pleural effusions .