Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is enlarged . The mediastinal and hilar contours are stable . There has been an increase in pulmonary edema . Small bilateral pleural effusions with basilar atelectasis are also present . There is no pneumothorax . Severe degenerative changes of the right glenohumeral joint are visualized .
    OUTPUT:
    
Cardiomegaly , worsening pulmonary edema with small bilateral pleural effusions and atelectasis - consistent with CHF .