Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest . 2 leads of a left chest wall pacer terminate in stable position in the right atrium and right ventricle . Pulmonary edema has worsened since the prior chest radiograph with increased perihilar edema and pulmonary vascular congestion . Now small - to - moderate sized pleural effusions have enlarged with adjacent bibasilar atelectasis . Heart size and cardiomediastinal contours are stable .
    OUTPUT:
    
Interval worsening of moderate pulmonary edema with small - to - moderate sized bilateral pleural effusions .