Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . Indistinct pulmonary vascular markings are seen bilaterally . Blunting of the costophrenic angle and silhouetting the hemidiaphragm suggestive of bilateral effusions . Cardiomediastinal silhouette appears enlarged , likely slightly accentuated by low inspiratory effort . Median sternotomy wires are noted , now with a fracture of the top two wires . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Findings suggestive of congestive failure with mild pulmonary edema and bilateral effusions . Component of superimposed infection should be considered based on a clinical basis .