Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable AP radiograph of the chest demonstrates persistent mild pulmonary edema , moderate right pleural effusion , and small left pleural effusion . There is no significant change from yesterday . Atelectasis of the left lower lobe persists . Heart size is difficult to assess , but the hilar and mediastinal contours are unchanged . Tortuosity of the aorta as well as atherosclerotic calcifications in the aortic arch are unchanged . A Dobbhoff feeding tube seen coursing into the stomach , terminating at or just beyond the pylorus . There is no pneumothorax .
    OUTPUT:
    
Persistent decompensated congestive heart failure with mild pulmonary edema , moderate right and small left pleural effusions .