Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is slightly rotated . ETT in standard position . Enteric tube traverses the diaphragm and its tip is not seen . External respiratory tubing projects over the mediastinum and left lower hemithorax limiting evaluation . The heart size is mild - to - moderately enlarged , overall unchanged . Lung volumes are low . No focal consolidation . Small to moderate bilateral dependent pleural effusions , greater on the right . Mild - to - moderate prominence of the pulmonary vasculature with pulmonary edema . No pneumothorax .
    OUTPUT:
    
Mild - to - moderate biventricular heart failure and / or volume overload .