Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate interstitial pulmonary edema characterized by Kerley B lines . Small bilateral pleural effusions are present . There is moderate pulmonary vascular engorgement , and enlargement of the cardiac silhouette . The mediastinal contours are normal , with calcification noted of the aortic knob .
    OUTPUT:
    
Moderate interstitial pulmonary edema and pulmonary vascular engorgement reflecting cardiac decompensation .