Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There are diffuse bilateral interstitial opacities , more predominant in the lung bases , with ___ B lines and associated small bilateral pleural effusions . Cardiac size is slightly enlarged allowing for limitations of this AP view . Significant atherosclerotic calcifications of the aortic arch are present . There is no pneumothorax . Evidence of a large hiatal hernia is again seen . Left axillary soft tissue calcifications are again seen .
    OUTPUT:
    
Acute pulmonary edema with associated bilateral pleural effusions .