Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall pacer defibrillator and 2 leads are seen unchanged in position . Median sternotomy wires are grossly intact and unchanged . A large right pleural effusion and moderate left pleural effusion are not significantly changed . There is right middle lobe and right lower lobe atelectasis which is significant . Additionally , there is increased atelectasis at the left base There is moderate pulmonary edema , minimally worse than on the prior study . There is no evidence of pneumothorax .
    OUTPUT:
    
1 . Minimally increased pulmonary edema . 2 . Large right pleural effusion and moderate left pleural effusion are not significantly changed . 3 . Significant right middle lobe and right lower lobe atelectasis as well as atelectasis the left base .