Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One portable AP upright view of the chest . There is moderate pulmonary edema , pulmonary vascular engorgement and small bilateral pleural effusions consistent with moderate congestive heart failure . No evidence of pneumonia . Lung apices are clear . No pneumothorax . Heart size is either unchanged or slightly bigger compared to most recent study .
    OUTPUT:
    
Moderate pulmonary edema , pulmonary vascular engorgement , and small bilateral pleural effusions consistent with moderate congestive heart failure . These findings were discussed with ___ at 3 :30 p .m . on ___ by telephone .