Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bibasilar and perihilar interstitial opacities with associated vascular upper redistribution in the setting of moderately severe cardiomegaly . Doubt overt CHF at this time . The aorta is tortuous , with atherosclerotic calcifications . The pulmonary hila aare again noted to be prominent , with a tapered appearance , suggesting pulmonary hypertension . A dual lead pacemaker is seen with the lead endings in unchanged position compared with prior exam . There are bilateral pleural effusions , right worse than left . No evidence of pneumothorax . Biapical scarring is present .
    OUTPUT:
    
Moderately severe cardiomegaly , upper zone redistribution with slight vascular plethora , and patchy bibasilar opacities . Allowing for technique , bibasilar opacities are similar to ___ .