Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable upright radiograph of the chest was provided . There is a moderate right and small left pleural effusion . Pulmonary vascular redistribution is noted . There is bibasilar atelectasis . Mild cardiomegaly is present . There is no pneumothorax . No rib fracture is seen .
    OUTPUT:
    
Moderate right and small left pleural effusions with pulmonary vascular redistribution consistent with decompensated congestive heart failure . Underlying pneumonia can not be excluded . No rib fracture is seen , although the technique is quite limited . If there is further clinical concern , please obtain dedicated a rib series .