Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate left greater than right pleural effusions . Increased interstitial markings are seen throughout the lungs . The cardiac silhouette is enlarged . Degenerative changes are noted at the shoulders bilaterally . No acute osseous abnormalities .
    OUTPUT:
    
Congestive failure with moderate left greater than right effusions and pulmonary edema .