Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to study performed at ___ from earlier the same day . There has been interval development of indistinct pulmonary vascular markings . Small - to moderate - sized bilateral pleural effusions are more clearly delineated on the current exam . The lung volumes are seen . Cardiac silhouette is prominent , likely accentuated due to AP technique and low inspiratory effort . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Findings suggestive of congestive failure and moderate bilateral effusions .