Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient slightly rotated . Lung volumes are low . Bilateral increased pulmonary congestion with moderate edema is demonstrated . Opacity in the right lower lobe with silhouetting of the right hemidiaphragm likely reflects a combination of a small right pleural effusion , atelectasis , and edema . No pneumothorax . No appreciable left pleural effusion . No acute osseous abnormality . The heart is moderately enlarged , similar to the prior exam .
    OUTPUT:
    
Findings most consistent with congestive heart failure and a right pleural effusion .