Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiographs of the chest . There is unchanged enlargement of the cardiac silhouette . There is pulmonary vascular congestion and pulmonary edema . There are bilateral moderate pleural effusions . Bibasilar opacities are likely compressive atelectasis ; however , underlying pneumonia is not excluded . No pneumothorax . No displaced rib fracture identified , although dedicated rib series or CT are more sensitive .
    OUTPUT:
    
Evidence of fluid overload with pulmonary edema and bilateral pleural effusions . No fracture seen , please note dedicated rib series or chest CT are more sensitive .