Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains moderately enlarged . Mediastinal and hilar contours are unchanged . There appears to be mild pulmonary vascular congestion with upper zone vascular redistribution . More focal patchy opacities in the lung bases with peribronchial cuffing are concerning for areas of infection or aspiration . Trace bilateral pleural effusions are likely present . No acute osseous abnormalities demonstrated .
    OUTPUT:
    
Patchy opacities within the lung bases are concerning for areas of infection or aspiration . Mild pulmonary vascular congestion and probable small bilateral pleural effusions .