Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . There are new small bilateral effusions which on the right extends into the major fissure . The cardiac silhouette is enlarged and there are increased interstitial markings . Linear opacity at the left lung base may be due to atelectasis . Left chest wall single lead pacing device is unchanged . Median sternotomy wires and mediastinal clips again seen . Atherosclerotic calcifications noted in the aorta . Vertebroplasty changes seen in the lower thoracic vertebral body . There has also been interval vertebral body height loss of the mid thoracic level since recent exam .
    OUTPUT:
    
Findings suggestive of a congestive failure with vascular congestion , bilateral pleural effusions and cardiomegaly . Interval compression deformity of a mid thoracic vertebral body age indeterminate but new since ___ .