Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest are provided . Moderate cardiomegaly is noted . There is minimal peribronchial cuffing with trace interstitial pulmonary edema . There is no pneumothorax . There are likely small bilateral pleural effusions and / or pleural thickening . Numerous surgical clips are noted throughout the mediastinum and upper abdomen . Scattered pleural calcifications are present , left greater than right .
    OUTPUT:
    
1 . Mild pulmonary vascular engorgement and trace interstitial pulmonary edema along with cardiomegaly , suggests mild decompensated congestive heart failure . 2 . Given the extensive chronic findings , CT should be considered if there is further clinical concern for pneumonia .