Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires , mediastinal clips and prosthetic valve are unchanged in position . There again seen is moderate cardiomegaly , mildly increased from prior study , there is also increased perihilar and bibasilar vague opacities , most consistent with moderate pulmonary edema . There are moderate sized bilateral pleural effusions , left greater than right with adjacent atelectasis and fluid is also seen in the minor fissure on the right . No pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly with moderate pulmonary edema and moderate sized bilateral pleural effusions , left greater than right .