Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Bibasilar opacity silhouetting the hemidiaphragms are suggestive of effusions , left greater than right , new since prior . Indistinct pulmonary vascular markings are seen . Degree of cardiomegaly is difficult to assess given silhouetting due to bilateral effusions . Trachea is deviated to the left of the thoracic inlet secondary to tortuosity of the great vessels , better characterized by prior CT . Median sternotomy wires and left chest wall single - lead pacing device are identified . Dense mitral annular calcifications again noted .
    OUTPUT:
    
Moderate bilateral left greater than right effusions with pulmonary edema .