Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is stable . Pacer leads tips are in standard position in the right atrium and through the coronary sinus . Moderate pulmonary edema has improved . There is no pneumothorax . Small bilateral effusions larger on the right side have decreased . Sternal wires are aligned
    OUTPUT:
    
Improved pulmonary edema and pleural effusions