Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette is again noted . Blunting of the lateral costophrenic angles bilaterally as seen on recent x-ray are likely in part due to effusions . Mild to moderate pulmonary edema is again noted . No acute osseous abnormality .
    OUTPUT:
    
Cardiomegaly with pulmonary edema and small bilateral effusions .