Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . There is mild to moderate pulmonary edema . Small bilateral pleural effusions are seen . The cardiac silhouette remains markedly enlarged . Mediastinal contours are prominent but stable . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Persistent cardiomegaly , small bilateral pleural effusions and mild to moderate pulmonary edema .