Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mild to moderately enlarged . Pleural effusions are present , small on the right and small to moderate on the left . Fissures are mildly thickened which suggests very mild congestive changes . A very mild interstitial abnormality is probably due to mild edema .
    OUTPUT:
    
Pleural effusions and mild congestive changes .