Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Bilateral pleural effusions are noted with hilar congestion and mild pulmonary edema . In addition , lower lobe opacities may represent a superimposed pneumonia . No pneumothorax . Cardiomediastinal silhouette is stable . Bony structures are intact .
    OUTPUT:
    
Pulmonary edema with bilateral pleural effusions . Given the lower lobe opacities , difficult to exclude a superimposed pneumonia .