Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC terminates at the junction of the left brachiocephalic vein and superior vena cava . Cardiomegaly is accompanied by pulmonary vascular congestion , mild to moderate edema , and small bilateral pleural effusions . Note is made of previous coronary bypass surgery .
    OUTPUT:
    
Congestive heart failure with mild to moderate edema and small bilateral pleural effusions . Standard PA and lateral the chest following diuresis would be helpful to ensure resolution and to provide more comprehensive assessment of the chest .