Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pleural effusions are now moderate to large in size . There is worsening pulmonary edema , now moderate . The right lung base appears more consolidated than on prior studies , which is likely related to worsening pleural effusion and pulmonary edema . The heart size can not be well assessed due to the presence of pleural effusions . The mediastinal contours are stable with calcification of the aortic knob . Patient is status post CABG . Right pacemaker defibrillator is present with leads in the right atrium and right ventricle .
    OUTPUT:
    
Worsening bilateral pleural effusions and pulmonary edema .