Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains moderately enlarged and coronary arterial calcifications are noted . The aortic knob is calcified . Mediastinal contours are unchanged . There is perihilar haziness and moderate interstitial pulmonary edema , new compared to the prior study . Small bilateral pleural effusions are also new . Moderate size hiatal hernia is not as well seen on the current exam . No pneumothorax is present . Multiple clips are demonstrated projecting over the left chest compatible with prior mastectomy . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate congestive heart failure with moderate interstitial pulmonary edema and small bilateral pleural effusions .