Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest , portable upright . There is moderate pulmonary edema as well as small bilateral pleural effusions , right greater than left , with bibasilar atelectasis . The heart size is minimally enlarged , unchanged from the patient 's baseline . Unchanged widening of the mediastinum is attributable to mediastinal lymphadenopathy . Aorta remains tortuous . There is no pneumothorax . Cervical spinal fusion hardware is partially imaged . Degenerative changes of the right glenohumeral joint are noted .
    OUTPUT:
    
Findings consistent with decompensated congestive heart failure .