Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . No prior . There are bibasilar opacities compatible with small effusions , larger on the right than on the left . There is engorgement of the pulmonary vasculature with indistinct vascular markings peripherally . The cardiac silhouette is enlarged . Severe degenerative changes are partially visualized at the glenohumeral joints bilaterally . Osseous and soft tissue structures are otherwise unremarkable .
    OUTPUT:
    
Findings suggestive of congestive failure .