Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Cardiomegaly is moderate to severe . There is mild interstitial pulmonary edema . Tiny bilateral pleural effusions noted . No evidence of pneumonia . No pneumothorax . Hilar congestion is noted . Mediastinal contour is normal . Bony structures are intact . Dish related changes of the T - spine noted .
    OUTPUT:
    
Cardiomegaly with interstitial pulmonary edema and tiny bilateral pleural effusions .