Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD / pacemaker device is re - demonstrated with leads in unchanged positions . There has been interval placement of 2 clips in the region of the mitral valve . Cardiac silhouette size remains markedly enlarged , slightly increased in the interval . The mediastinal contour is unchanged . There is perihilar haziness with mild to moderate pulmonary edema , new in the interval , along with small bilateral pleural effusions , also new . No pneumothorax or focal consolidation is present . Bilateral cervical ribs are incidentally noted . Surgical screws project over the left shoulder .
    OUTPUT:
    
Moderate congestive heart failure with moderate pulmonary edema and small bilateral pleural effusions .