Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New bilateral pleural effusions since ___ , moderate on the right and mild - to - moderate on the left . Hazy adjacent opacities in the bilateral lower lungs may be from layering effusions , but could also result from a focal consolidation , which is unclear on this frontal view . Interval increase in the heart size of the heart , with new cardiomegaly . New rightward convex bulging of the mediastinum , likely from and engorged SVC . Mild pulmonary vascular engorgement . New scattered bilateral patchy opacities in the lower lungs is most likely from mild interstitial edema , but pneumonia can not be excluded . No pneumothorax . Stable biapical pleural thickening since at least ___ . Stable dextroconvex scoliosis of the thoracic spine .
    OUTPUT:
    
New probable mild - to - moderate volume overload or heart failure , although a superimposed pneumonia can not be excluded . Recommend conventional PA chest radiograph for further evaluation of the lower lung opacities if the patient can tolerate it .