Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semiupright chest radiograph is obtained portably . Patient is rotated to her right , which limits the evaluation . There is persistent pulmonary edema with bilateral pleural effusions noted , size can not be assessed . No pneumothorax is seen . Degenerative changes of the left shoulder again noted .
    OUTPUT:
    
Pulmonary edema , small bilateral effusions . If there is oncern for pneumonia , recommend repeat chest radiograph post-diuresis .