Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD / pacemaker device is noted with leads terminating in the right atrium and right ventricle , in unchanged positions . Moderate cardiomegaly is stable . Aortic knob calcification is redemonstrated . There is mild pulmonary vascular congestion . No focal consolidation or pneumothorax is present . On the lateral view , there is mild blunting of the costophrenic angles posteriorly suggestive of minimal bilateral pleural effusions . No acute osseous abnormality is seen .
    OUTPUT:
    
Mild pulmonary vascular congestion and trace bilateral pleural effusions .