Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is moderately enlarged , Appearanec is exaggerated by mediastinal lipomatosis and chronic right middle lobe atelectasis . Central venous congestion and interstitial / airspace pulmonary edema , with a lower lobe predominance . Probable small bilateral pleural effusions . Mild bilateral acromioclavicular arthropathy .
    OUTPUT:
    
Possible congestive heart failure , but appearance is exaggerated by mediastinal lipomatosis and chronic right middle lobe atelectasis . Recommend 2 - view chest radiograph at full inspiration , or CT , to better characterize .