Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Overlying EKG leads are present . Cardiomegaly is noted with bibasilar atelectasis , difficult to exclude a superimposed pneumonia . Pulmonary vascular congestion with moderate pulmonary edema noted . Small pleural effusions are likely present . Bony structures appear intact .
    OUTPUT:
    
Cardiomegaly with bilateral pleural effusions and moderate pulmonary edema . Difficult to exclude a superimposed pneumonia at the lung bases though atelectasis is favored .