Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . The patient is rotated slightly to the left . Prominence of the main pulmonary artery is again seen , possibly slightly increased , suggesting pulmonary arterial hypertension . There is prominence of the pulmonary vasculature suggesting component of pulmonary edema . There are small - to - moderate bilateral pleural effusions . The cardiac silhouette is moderate - to - markedly enlarged . Aorta is calcified . Bibasilar opacities likely relate to pleural effusions and prominent vascular structures .
    OUTPUT:
    
1 . Enlargement of the main pulmonary artery suggesting pulmonary hypertension . 2 . Markedly enlarged cardiac silhouette , pleural effusions , and prominent vascular structures suggest fluid overload due to cardiac decompensation .