Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Pulmonary vascular congestion and mild to moderate pulmonary edema is again noted with small bilateral pleural effusions . Difficult to exclude a superimposed pneumonia . No pneumothorax . Cardiomediastinal silhouette is unchanged . Bony structures are intact .
    OUTPUT:
    
Unchanged exam with moderate pulmonary edema , small bilateral effusions .