Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are increased , moderate to large bilateral pleural effusions . Heart size is top normal . New central venous congestion and interstitial edema . Aorta is tortuous and calcified . Mild bilateral acromioclavicular and glenohumeral arthropathy . Multilevel right lateral bridging osteophytes in the thoracic spine . Dense carotid artery calcifications in the right neck .
    OUTPUT:
    
Worsening congestive heart failure .