Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One AP portable view of the chest . There are diffuse bilateral perihilar opacities most consistent with moderate pulmonary edema . There is mild - to - moderate cardiomegaly . The aorta is calcified and tortuous . Likely small bilateral pleural effusions . There are severe degenerative changes in the left shoulder .
    OUTPUT:
    
Mild - to - moderate cardiomegaly and moderate pulmonary edema with likely bilateral pleural effusions .