Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , with chronic elevation of the right hemidiaphragm . There is a small right and moderate left pleural effusion with significant atelectasis of the bilateral lower lungs . There is pulmonary vascular engorgement and perihilar opacities suggestive of mild edema . There is no pneumothorax . Cardiac pacemaker and leads are present .
    OUTPUT:
    
Findings suggestive of decompensated congestive heart failure , with pulmonary vascular engorgement , mild central pulmonary edema and bilateral pleural effusions .