Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph provided . Cardiomegaly is noted with diffuse pulmonary edema . Bilateral pleural effusions also noted which are small in overall volume . No pneumothorax is seen . Mediastinal contour is grossly unremarkable . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly , pulmonary edema with small bilateral pleural effusions .