Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly appears slightly increased when compared to the prior exam . The aorta remains tortuous , with atherosclerotic calcification again demonstrated at the aortic arch . Mild pulmonary edema is new compared to the prior exam . Small bilateral pleural effusions are also new . Evaluation of the lung apices is somewhat obscured by the patient 's chin . No focal consolidation or pneumothorax is identified . There are multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
Mild congestive heart failure with small bilateral pleural effusions .