Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left - sided pacemaker with associated right atrial and right ventricular leads . There is mild interstitial pulmonary edema , new compared to the prior radiograph from ___ . Moderate cardiomegaly has slightly increased . Small bilateral pleural effusions are similar to the prior study . The descending thoracic aorta remains tortuous . There is no pneumothorax .
    OUTPUT:
    
Mild interstitial pulmonary edema with small bilateral pleural effusions and moderate cardiomegaly .