Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright AP and lateral radiograph of the chest demonstrates moderate cardiomegaly as well as mild interstitial pulmonary edema and small bilateral pleural effusions . The lungs are otherwise clear . There is no pneumothorax .
    OUTPUT:
    
Mild decompensated congestive heart failure with small bilateral pleural effusions .