Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiographs of the chest demonstrate moderate pulmonary edema as well as moderate cardiomegaly which is worse than on the prior chest radiograph from ___ . There are small to moderate bilateral pleural effusions . There is no pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly , pulmonary edema , and bilateral pleural effusions , consistent with decompensated congestive heart failure .