Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest , PA and lateral . The lungs are clear . Mild cardiomegaly is present . There are new small bilateral pleural effusions compared to the radiograph taken 6 days ago . Pulmonary vascular engorgement is present , without frank interstitial edema . There is no pneumothorax .
    OUTPUT:
    
1 . Mild cardiomegaly , pulmonary vascular engorgement , and new bilateral small pleural effusions may indicate decompensated congestive heart failure . 2 . No evidence of pneumonia .