Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is noted with leads terminate in the right atrium right ventricle . Mild cardiomegaly is again noted . The aorta is mildly tortuous and with atherosclerotic calcifications noted at the arch . There is mild interstitial pulmonary edema . Small bilateral pleural effusions are present larger on the right . No focal consolidation or pneumothorax is identified . Mild degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
Mild interstitial pulmonary edema with small bilateral pleural effusions .