Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left - sided chest wall pacemaker with leads projecting over the right atrium and right ventricle . The heart is moderately enlarged . There is moderate pulmonary edema . Blunting of the right costophrenic angle could reflect a small amount of pleural fluid . There is no pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly and moderate pulmonary edema .